Organization Active NPI

Jon D Nguyen MD PA

  • Surgery Physician
  • Cypress, TX
National Provider Identifier
1295904118
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M8872 Issued in TX
Legal business name
JON D NGUYEN MD PA
Practice address
14502 Spring Cypress Rd # 900
Cypress, TX 77429-6665
Phone
(832) 534-3802
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Jon D NguyenNPI 1669641809
Title
President & Secretary
Phone
(832) 534-3801

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X M8872 TX Primary

Addresses

Primary practice location

14502 Spring Cypress Rd # 900
Cypress, TX 77429-6665

Mailing address

14502 Spring Cypress Rd # 900
Cypress, TX 77429-6665
Phone (832) 536-3802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000249 TX Part B Supplier - Clinic/Group Practice 5294905170 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

14502 Spring Cypress Rd
Ste 800
Cypress, TX 77429
Phone (281) 671-7070

14502 Spring Cypress Rd
Ste 900
Cypress, TX 77429
Phone (832) 534-3801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1295904118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 SPRING CYPRESS RD # 900",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296665",
            "telephone_number": "832-536-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 SPRING CYPRESS RD # 900",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296665",
            "telephone_number": "832-534-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON D NGUYEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "832-534-3801"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M8872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.