Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thanh Phung

Individual provider Family Medicine Physician · NPI 1457889420

Thanh Phung is a Family Practice in Saint Paul, Minnesota. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2017, 9 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
MN
In the registry since
2017
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Practice location Address checks out

2155 Ford Pkwy Ste A
Saint Paul, MN 55116-2799
Phone: (651) 696-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Hickman Rd, Des Moines, IA 50314-1505 — (515) 282-5640

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67245 (MN)

Record details

NPI number1457889420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address400 Stinson Blvd Fl 2, Rev Mgmt, Minneapolis, MN 55413-2614

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2017 (9 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Paul