Active NPI
Dzung Nguyen, M.D.
- Internal Medicine Physician
- Panama City, FL
National Provider Identifier
1346639242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0067893
- Legal business name
- DZUNG NGUYEN, M.D.
- Practice address
- 2007 Harrison Ave
Panama City, FL 32405-4545 - Phone
- (850) 769-5224
- Fax
- (850) 769-4515
- NPI assigned
- Jan 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dzung Nguyen, M.D.
- Title
- Manager
- Phone
- (850) 769-5224
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0067893 | FL | Primary |
Addresses
Primary practice location
2007 Harrison Ave
Panama City, FL 32405-4545
Mailing address
2007 Harrison Ave
Panama City, FL 32405-4545
Phone (850) 769-5224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379141600 | Medicaid | FL | |
| 27510 | Other | FL | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
2007 Harrison Ave
Panama City, FL 32405
Phone (850) 769-5224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Panama City, FL
- NPI 1356376818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1346639242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054545",
"telephone_number": "850-769-5224",
"fax_number": "850-769-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054545",
"telephone_number": "850-769-5224",
"fax_number": "850-769-4515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DZUNG NGUYEN, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "DZUNG",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "850-769-5224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0067893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379141600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "27510",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.