Physician Compare National (NPI:1124336797)

HEALTHCARE PROVIDER: THUY DAN THI DO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124336797
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476771825
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140826001839
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DO
	Individual professional last name
Provider First Name	THUY
	Individual professional first name
Provider Middle Name	DAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SEATTLE INDIAN HEALTH BOARD
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7517866973
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	611 12TH AVE S
	Group Practice or individual's line 1 address
City	SEATTLE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	981441910
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2063249360
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500129
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TACOMA GENERAL ALLENMORE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y