Kim-Huong Nguyen, D.O.
Individual provider Active NPI Family Medicine Physician · Glenolden, PA
NPI 1134430267 · NPPES record last updated Mar 20, 2014
Key facts
- NPI
- 1134430267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OT013365 (PA)
- Practice address
- 39 S Chester Pike
2ND Floor
Glenolden, PA 19036-1830 - Phone
- (610) 586-2122
- Fax
- (610) 586-0612
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130926000660 | PA | Practitioner - Family Practice | 5597903302 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Tower Drexel Academic Medical Group LLC | Current |
Accepting new patients | |
| Tower Drexel Academic Medical Group LLC | Current |
Accepting new patients | |
| Drexel University | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Family Medicine | Current |
Accepting new patients |
| Drexel University | Family Medicine | Current |
Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
3401 Market St
Ste 105B
Philadelphia, PA 19104
Phone (215) 220-4700
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Interoperability endpoints
- knguyen20536@drexel.gardenplot.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT013365 | PA | Yes |
Addresses
Primary practice location
39 S Chester Pike
2ND Floor
Glenolden, PA 19036-1830
Mailing address
39 S Chester Pike
2ND Floor
Glenolden, PA 19036-1830
Phone (610) 586-2122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207Q00000X | Medicaid | PA |
Other providers in Glenolden, PA
- Cathy M McAndrew
- Margaret McConnell
- Med One Express
- Ms-HC PA PLLC
- Nathan Walker
- Ngan Vo Kim Nguyen
- Francis Elochukwu Okafor
- Jason Henry Oliver
- Angela Pano
- Chinmayee Patel
All providers in Glenolden, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.