Physician Compare National (NPI:1730238270)

HEALTHCARE PROVIDER: AN NGOC THAI 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	1730238270
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719915008
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050728000432
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THAI
	Individual professional last name
Provider First Name	AN
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1968
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1443 B DORCHESTER AVE
	Group Practice or individual's line 1 address
City	DORCHESTER
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021221347
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6172650955
	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	220017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CARNEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y