Viet Nguyen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5151398-8905 Issued in UT

Practice address

1612 Ute Blvd
112
Park City, UT 84098-7500

Phone

(435) 655-3309

Fax

(435) 655-3392

NPI assigned

May 1, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Viet Nguyen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park City Internal Medicine - Pediatrics, LC

  • Health Service Clinic/Center
  • Park City, UT
  • NPI 1750569562
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1063470136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 UTE BLVD",
            "address_2": "112",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987500",
            "telephone_number": "435-655-3309",
            "fax_number": "435-655-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 UTE BLVD",
            "address_2": "112",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987500",
            "telephone_number": "435-655-3309",
            "fax_number": "435-655-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIET",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "5151398-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIET",
            "last_name": "NGUYEN",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kay Negishi
• Dana P. Nelson, BS, COTA/L
• Evangelina Ortega Neuman, LCSW
• Neva Therapies
• New Chapters Therapy
• Sara Nibley
• Andrew Nichols, PH.D.
• Jared R. Nielsen, D.C.
• Tania Patricia Nisimblat Bodnar, M.D.
• Bailey Jean Nissen

• Specialist in Park City, UT
• Providers in Park City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.