Phuong H DO

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PP481360 Issued in PA

Legal business name

PHUONG H DO

Practice address

600 Washington Ave
Unit# 18E
Philadelphia, PA 19147-4836

Phone

(215) 755-5100

Fax

(215) 755-1055

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Trissie Diem Nguyen, R.PH.

Title

Pharmacy Manager

Phone

(215) 755-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1376643353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON AVE",
            "address_2": "UNIT# 18E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474836",
            "telephone_number": "215-755-5100",
            "fax_number": "215-755-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON AVE",
            "address_2": "UNIT# 18E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474836",
            "telephone_number": "215-755-5100",
            "fax_number": "215-755-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG H DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRISSIE",
        "authorized_official_middle_name": "DIEM",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-755-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "PP481360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009941610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rishabh Dev Phukan, MD
• Anh T Phung, RPH
• Christopher Phung
• Khanh Phung
• Quang Phung, CRNP
• Sophavy Phuong
• Phyllis H. Goltra, P.C.
• Sai Aung Phyo, MD, PHD
• Physical Corrective Solutions, LLC
• Physical Medicines & Acupuncture LTD

• Point of Service in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Point of Service in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.