Minh D Ta
Family Medicine

Address: 21785 Filigree Ct Ste 100, Ashburn, VA 20147-6214
Phone: 7035541100

Minh D Ta (NPI# 1386930287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1386930287
Entity Type Individual
Full Name Minh D Ta
Credential M.D.
Gender Male
Practice Address 21785 Filigree Ct Ste 100
Ashburn
VA 20147-6214
Practice Telephone 7035541100
Mailing Address 21785 Filigree Ct Ste 100
Ashburn
VA 20147-6214
Mailing Telephone 7035541100
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2011-06-20
Last Update Date 2016-02-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207Q00000X Family Medicine Allopathic & Osteopathic Physicians MT199021 PA
No 207Q00000X Family Medicine Allopathic & Osteopathic Physicians D0078580 MD
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 0101257641 VA

Other Providers MINH TA

NPI Name Taxonomy Address Enumeration
1396712816 Minh C Ta Optometrist 2570 Blackmon Dr Ste 350, Decatur, GA 30033-6197 2006-03-02

Physician Overview

NPI 1386930287
PAC ID by PECOS 7911229315
Professional Enrollment ID I20151105002167
Full Name Minh D Ta
Organization Legal Name CENTRA MEDICAL GROUP, LLC
Phone Number 4349473033
Gender M
Graduation Year 2010
Primary Specialty HOSPITALIST
Secondary Specialties FAMILY PRACTICE
Group Practice PAC ID 4789606088
Number of Group Practice Members 467
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490021 CENTRA

Office Location

Street Address 21785 FILIGREE CT STE 100
City ASHBURN
State VA
Zip Code 20147-6214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144519190 Monica Kanal Internal Medicine 21785 Filigree Ct Ste 100, Ashburn, VA 20147-6214 2011-03-30
1477943801 Amanda Marie Dickey Nurse Practitioner 21785 Filigree Ct Ste 100, Ashburn, VA 20147-6214 2015-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033684154 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 44835 Russel Branch Parkway, Ashburn, VA 20147 2018-10-04
1417437203 Roshni A Patel Optometrist 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 2018-08-21
1972095974 Verum Cutis Dermatology Dermatology 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 2018-06-05
1255860680 Aperiomics, Inc. Clinical Medical Laboratory 45085 University Dr, Ste 305, Ashburn, VA 20147 2017-06-08
1982053112 Brian Kennedy Student in an Organized Health Care Education/Training Program 19998 Shadow Creek Ct, Ashburn, VA 20147 2016-06-08
1770939571 Jared Reardon Dentist 20745 Williamsport Pl Ste 120, Ashburn, VA 20147 2016-05-11
1861853798 Tetyana Mccain Dentist 42976 Nashua St, Ashburn, VA 20147 2016-03-20
1578920211 Melissa Holbrook Walker Physician Assistant 21785 Filigree Court, Suite 101, Reston Radiology Consultants, Ashburn, VA 20147 2016-01-26
1144695180 Olga Goncharov Speech-Language Pathologist 43255 Stillforest Ter., Ashburn, VA 20147 2015-12-02
1770975096 Biogenomic Medicine Institute, Pllc Psychiatry & Neurology 45189 Research Place, Suite 150, Ashburn, VA 20147 2015-02-24
Find all providers in zip 20147

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790888162 Shilpa H Amin Family Medicine Belmont Country Club, Village of Baltrusol, 19756 Estancia Terrace, Ashburn, VA 20147 2006-09-07
1821107764 Ashburn Medical Center PC Family Medicine 42882 Truro Parish Drive, Suite 201 Ashburn Medical Center PC, Ashburn, VA 20148 2006-08-30
1326056045 Thomas Francis Morris Family Medicine 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 2006-08-05
1609891316 Neeta Goel Family Medicine 44095 Pipeline Plz, Ste 370, Ashburn, VA 20147-5898 2006-07-13
1508899907 Patrina Lockette Family Medicine 354 E. Washington Ave., Ashburn, GA 31714-5222 2006-07-09
1215991948 Mary R Renard Family Medicine 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 2006-04-12
1174508055 Earl A Lorenzen Family Medicine 354 E Washington Ave, Ashburn, GA 31714-5222 2005-12-13
1831615335 Regina Vera Evidente Family Medicine 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 2017-08-16
1861894222 Capital Family Medicine Plc. Family Medicine 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 2014-09-17
1528486230 Lubna Rana Family Medicine 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 2014-03-31
Find all providers in ASHBURN

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City ASHBURN
Zip Code 20147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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