Active NPI
Brian H Ngo, D.O.
- Anesthesiology Physician
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OP60081740
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 636-4878
- Fax
- (360) 414-7638
- NPI assigned
- Apr 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5101016419 | MI | |
| Anesthesiology Physician | 207L00000X | 20A10834 | CA | |
| Anesthesiology Physician | 207L00000X | OP60081740 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522
721 N Shiawassee St
Owosso, MI 48867-1632
826 W King St
Owosso, MI 48867-2120
8333 Felch St
Zeeland, MI 49464-2608
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10834 | CA | MD | Anesthesiology Physician |
| 5101016419 | MI | MD | Anesthesiology Physician |
| OP60081740 | WA | MD | Anesthesiology Physician |
| 10834 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Anesthesiology | Current | Accepting new patients |
| Memorial Hospital | Anesthesiology | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Capital Medical Center Specialty Physicians, LLC | Current | Accepting new patients | |
| Memorial Hospital | Anesthesiology | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Anesthesiology | Current | Accepting new patients |
| Rainier Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Tall Grass Anesthesia Services, LLC | Past | Accepting new patients | |
| Advanced Practice Associates LLC | Past | Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Interoperability endpoints
- bngo434466@direct.peacehealth.org
Organizations & group practices 17
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.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Occupational Medicine Physician
- Olympia, WA
- NPI 1760785281
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Clinic/Center
- Westport, WA
- NPI 1497510333
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
-
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
-
- Emergency Medical Services (Emergency Medicine) Physician
- Gaylord, MI
- NPI 1376657239
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- General Acute Care Hospital
- Owosso, MI
- NPI 1063414233
-
- General Acute Care Hospital
- Oro Valley, AZ
- NPI 1386697688
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
-
- General Acute Care Hospital
- Zeeland, MI
- NPI 1275536344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1174743348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-636-4878",
"fax_number": "360-414-7638"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-723-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "BRIAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101016419",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A10834",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP60081740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.