Organization Active NPI

Longview Internal Medicine Physicians PLLC

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1346871902
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONGVIEW INTERNAL MEDICINE PHYSICIANS PLLC
Practice address
701 E Loop 281
Longview, TX 75605-5006
Phone
(430) 240-4600
NPI assigned
Jan 31, 2020
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Trung Hieu Nguyen, MDNPI 1932307766
Title
Sole Owner
Phone
(903) 235-7280

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

701 E Loop 281
Longview, TX 75605-5006

Mailing address

3009 Chase Wood Way
Longview, TX 75605-2848
Phone (903) 235-7280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408000484 TX Part B Supplier - Clinic/Group Practice 3779912050 Receives reassigned benefits from 1 practitioner
Practice locations: Longview, TX

National Provider Directory

National Provider Directory

Locations

103 W Loop 281
Ste 205
Longview, TX 75605
Phone (903) 212-7550

103 W Loop 281
Ste 472
Longview, TX 75605
Phone (903) 212-7550

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1346871902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 CHASE WOOD WAY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052848",
            "telephone_number": "903-235-7280",
            "fax_number": "903-653-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055006",
            "telephone_number": "430-240-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW INTERNAL MEDICINE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "HIEU",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "903-235-7280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.