Active NPI
Suong Thu Nguyen, PA
- Physician Assistant
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006187
- Practice address
- 4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975 - Phone
- (757) 736-8050
- Fax
- (757) 736-8080
- NPI assigned
- Jul 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110006187 | VA | Primary |
Addresses
Primary practice location
4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975
Mailing address
4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975
Phone (757) 736-8050
Other practice location 1
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2285
Other names 1
- Suong Thu Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Sentara Cir
Williamsburg, VA 23188-5713
100 Sentara Circle
SMG Division of Hospital Medicine William
Wiliamsburg, VA 23188-5713
Phone (757) 984-7217
3000 Coliseum Dr
Hampton, VA 23666-5963
4000 Coliseum Dr
Hampton, VA 23666-5983
830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860
850 Kempsville Rd
Norfolk, VA 23502-3920
Hospital & facility affiliations
- Sentara Careplex Hospital
- Sentara Williamsburg Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006187 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients |
Locations
4000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-8050
4001 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-8050
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1255716577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 COLISEUM DR STE 200",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665975",
"telephone_number": "757-736-8050",
"fax_number": "757-736-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 COLISEUM DR STE 200",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665975",
"telephone_number": "757-736-8050",
"fax_number": "757-736-8080"
}
],
"practiceLocations": [
{
"address_1": "3636 High St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237073236",
"country_code": "US",
"telephone_number": "757-398-2285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "SUONG",
"middle_name": "THU",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUONG",
"last_name": "NGUYEN",
"middle_name": "THU",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.