Active NPI
My-Duc Thi Nguyen, M.D.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1316908668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 64633
- Practice address
- 2301 Sand Lake Rd
Orlando, FL 32809-7639 - Phone
- (407) 851-6478
- Fax
- (407) 240-1970
- NPI assigned
- Mar 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | GU | ||
| Family Medicine Physician | 207Q00000X | ME 64633 | FL | Primary |
Addresses
Primary practice location
2301 Sand Lake Rd
Orlando, FL 32809-7639
Mailing address
2600 Westhall Lane
Box 300
Maitland, FL 32751
Phone (407) 200-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 64633 | FL | MD | Family Medicine Physician |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1316908668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WESTHALL LANE",
"address_2": "BOX 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "32751",
"telephone_number": "407-200-2807",
"fax_number": "407-200-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 SAND LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097639",
"telephone_number": "407-851-6478",
"fax_number": "407-240-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MY-DUC",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 64633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.