Active NPI
Hiu Hung Phong, LMP
- Specialist
- Bellevue, WA
National Provider Identifier
1194997973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00019849
- Practice address
- 14042 NE 8TH Street
#104
Bellevue, WA 98007 - Phone
- (206) 992-3791
- NPI assigned
- Apr 1, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00019849 | WA | Primary |
Addresses
Primary practice location
14042 NE 8TH Street
#104
Bellevue, WA 98007
Mailing address
16240 Ne12Th CT
B14
Bellevue, WA 98008
Phone (206) 992-3791
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00019849 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1194997973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16240 NE12TH CT",
"address_2": "B14",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98008",
"telephone_number": "206-992-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14042 NE 8TH STREET",
"address_2": "#104",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "206-992-3791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHONG",
"first_name": "HIU",
"middle_name": "HUNG",
"name_prefix": "Miss",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00019849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.