Active NPI
Phuong Duong Thoai Nguyen, D.O.
- Surgery Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OP61447850
- Practice address
- 3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065 - Phone
- (360) 493-5252
- Fax
- (360) 493-5257
- NPI assigned
- Jun 18, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | OP61447850 | WA | Primary |
| Surgery Physician | 208600000X | 007988 | AZ |
Addresses
Primary practice location
3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065
Mailing address
3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065
Phone (360) 493-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 W Poplar St
Walla Walla, WA 99362-2846
Hospital & facility affiliations
- Providence St Mary Medical Center
- Hoag Memorial Hospital Presbyterian
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 15 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 33 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007988 | AZ | MD | Surgery Physician |
| OP61447850 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Surgery | Current | Accepting new patients |
| Surgical Associates PLLC | Current | Accepting new patients | |
| Rowan University School of Osteopathic Medicine | Past | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients |
Locations
3525 Ensign Rd NE
Ste J
Olympia, WA 98506
Phone (240) 463-4101
3610 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-5252
401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731
380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333
Organizations & group practices 5
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
- Walla Walla, WA
- NPI 1922259738
Surgery
-
- Diagnostic Radiology Physician
- Walla Walla, WA
- NPI 1306097126
-
- Vascular Surgery Physician
- Olympia, WA
- NPI 1447445424
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1083062616
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1275947103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE STE J",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-493-5252",
"fax_number": "360-493-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE STE J",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-493-5252",
"fax_number": "360-493-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG",
"middle_name": "DUONG THOAI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "OP61447850",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "007988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.