Active NPI
Hoa Tuyet Nguyenpho, M.D.
- Specialist
- Jacksonville, FL
National Provider Identifier
1124124177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 51857
- Practice address
- 1833 Boulevard
Jacksonville, FL 32206-4382 - Phone
- (904) 232-2751
- Fax
- (904) 232-2149
- NPI assigned
- Sep 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 51857 | FL | Primary |
Addresses
Primary practice location
1833 Boulevard
Jacksonville, FL 32206-4382
Mailing address
10270 Cypress Lakes Dr
Jacksonville, FL 32256-3640
Phone (904) 519-8979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 51857 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Electrocardiography, Inc | Specialist | Past | Accepting new patients |
| Southern Heart Group | Past | Accepting new patients |
Interoperability endpoints
- hoa.nguyen-pho.1@16002.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1962484220
-
- Specialist
- Jacksonville, FL
- NPI 1902964000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124124177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10270 CYPRESS LAKES DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322563640",
"telephone_number": "904-519-8979",
"fax_number": "904-519-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 BOULEVARD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064382",
"telephone_number": "904-232-2751",
"fax_number": "904-232-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYENPHO",
"first_name": "HOA",
"middle_name": "TUYET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME 51857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.