Hong-Van Nguyen, MD
Individual provider Active NPI Pediatrics Physician · Wynne, AR
NPI 1205464286 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1205464286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- E-16525 (AR)
- Practice address
- 1920 Falls Blvd N
Wynne, AR 72396-4027 - Phone
- (501) 364-1874
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20230730000044 | AR | Practitioner - Pediatric Medicine | 2062835747 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16525 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell Family Medicine, LLC | Current |
Accepting new patients | |
| Harmony Health Clinic Wynne, PLLC | Current |
Accepting new patients | |
| Harmony Health Clinic Wynne, PLLC | Current |
Accepting new patients |
Locations
924 State Highway 77
Marion, AR 72364
Phone (870) 739-5310
1920 Falls Blvd N
Wynne, AR 72396
Phone (870) 587-0800
Interoperability endpoints
- hnguyen583018@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-16525 | AR | Yes |
Addresses
Primary practice location
1920 Falls Blvd N
Wynne, AR 72396-4027
Mailing address
1920 Falls Blvd N
Wynne, AR 72396-4027
Phone (870) 587-0800
NPI Registry JSON
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1205464286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 FALLS BLVD N",
"city": "WYNNE",
"state": "AR",
"postal_code": "723964027",
"telephone_number": "870-587-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 FALLS BLVD N",
"city": "WYNNE",
"state": "AR",
"postal_code": "723964027",
"telephone_number": "501-364-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HONG-VAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-16525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynne, AR
- Amanda Noelle Mueller
- Madison Naceanceno
- Neall Jackson DDS PA
- Rhonda Nelson
- Zachary Grant Nethercutt
- Cody Don Nickles
- Juliet Noel
- Michael O. Norris
- Northeast Arkansas Community Mental Health Center
- Northeast Arkansas Community Mental Health Center Inc
All providers in Wynne, AR · Pediatrics Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. 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.