Active NPI
My Gia Nguyen, MD
- Family Medicine Physician
- Oak Hall, VA
National Provider Identifier
1063472025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101240723
- Practice address
- 8034 Lankford Hwy
Oak Hall, VA 23416 - Phone
- (757) 824-5676
- Fax
- (757) 824-5872
- NPI assigned
- Mar 24, 2006
- Last updated
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101240723 | VA | Primary |
Addresses
Primary practice location
8034 Lankford Hwy
Oak Hall, VA 23416
Mailing address
PO Box 1039
Nassawadox, VA 23413-1039
Phone (757) 414-0431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5090 | SD | MD | Pharmacist |
| 0101240723 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Rural Health System Incorporated | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Atlantic Community Pharmacy
- Community/Retail Pharmacy
- Oak Hall, VA
- NPI 1174224604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1063472025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1039",
"city": "NASSAWADOX",
"state": "VA",
"postal_code": "234131039",
"telephone_number": "757-414-0431",
"fax_number": "757-414-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8034 LANKFORD HWY",
"city": "OAK HALL",
"state": "VA",
"postal_code": "23416",
"telephone_number": "757-824-5676",
"fax_number": "757-824-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MY",
"middle_name": "GIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101240723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Hall, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.