Active NPI
Jennifer Hieu Luong
- Emergency Medicine Physician
- Columbus, OH
National Provider Identifier
1003378639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD477653
- Practice address
- 376 W 10TH Ave # 774
Columbus, OH 43210-1280 - Phone
- (614) 293-3570
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | MD477653 | PA | Primary |
Addresses
Primary practice location
376 W 10TH Ave # 774
Columbus, OH 43210-1280
Mailing address
376 W 10TH Ave # 774
Columbus, OH 43210-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD477653 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thoreau Clinic | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients |
Locations
700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
-
- Urgent Care Clinic/Center
- Flourtown, PA
- NPI 1245892314
-
- Urgent Care Clinic/Center
- Bensalem, PA
- NPI 1689136145
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1003378639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 W 10TH AVE # 774",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 W 10TH AVE # 774",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101280",
"telephone_number": "614-293-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "JENNIFER",
"middle_name": "HIEU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD477653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.