P Praxis·MD
● Active Type 1 · Individual

Tin Vuong

Family Medicine·Boise, ID· NPI 1417223892 · Enumerated 2012 · 14 years on NPI
Vuong is 1 of 12 family medicine providers in Boise and 1 of 26 in Idaho.
NPI age
14 years
Enumerated 2012-03-29
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 26 active family medicine providers in Idaho.

NPI age
14 years
≈ at median (14 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-03Enumerated in NPPES
2012 2026

Where they practice

Practice location
703 S Americana Blvd Ste 120
Boise, ID 837026754
📞 2087069340
Mailing address
Po Box 27128
Salt Lake City, UT 841270128

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
200 Montgomery Hwy Ste 125
Vestavia Hills, AL 352161840
📞 2059784352
Location 3
1665 Bonanza Dr
Park City, UT 840605127
📞 4356497640

Specialties

  • Family Medicine Primary
    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
    ID license #O-1471 taxonomy 207QS0010X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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