Organization Active NPI

Raymond Duong MD PA

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1235325671
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000122-006426 Issued in FL
Legal business name
RAYMOND DUONG MD PA
Practice address
805 37TH PL
Vero Beach, FL 32960-6564
Phone
(772) 770-3859
Fax
(772) 770-3581
NPI assigned
Sep 19, 2007
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raymond S Duong, MDNPI 1154437077
Title
Owner
Phone
(772) 770-3859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000122-006426 FL Primary

Addresses

Primary practice location

805 37TH PL
Vero Beach, FL 32960-6564

Mailing address

805 37TH PL
Vero Beach, FL 32960-6564
Phone (772) 770-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525000717 FL Part B Supplier - Clinic/Group Practice 3476534660 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1235325671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-770-3859",
            "fax_number": "772-770-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-770-3859",
            "fax_number": "772-770-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND DUONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-770-3859",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "000122-006426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.