Active NPI
Dung Nguyen Le, M.D.
- Family Medicine Physician
- Starke, FL
National Provider Identifier
1174539118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME62766
- Practice address
- 1550 S Water St
Starke, FL 32091-4511 - Phone
- (904) 368-2480
- Fax
- (904) 368-2481
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | ME62766 | FL | Primary |
Addresses
Primary practice location
1550 S Water St
Starke, FL 32091-4511
Mailing address
PO Box 100371
Gainesville, FL 32610-0371
Phone (352) 338-2195
Other names 1
- Dr. Zoom Le
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Current | Accepting new patients | |
| Shands Teaching Hospital and Clinics Inc | Past | Accepting new patients |
Locations
100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215
7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Florida State Hospital-Unit 31
- General Acute Care Hospital
- Chattahoochee, FL
- NPI 1710945118
-
- Clinic/Center
- Gainesville, FL
- NPI 1821184649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174539118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100371",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100371",
"telephone_number": "352-338-2195",
"fax_number": "352-265-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 S WATER ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320914511",
"telephone_number": "904-368-2480",
"fax_number": "904-368-2481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "DUNG",
"middle_name": "NGUYEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME62766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZOOM",
"last_name": "LE",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Starke, 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.