Active NPI
Individual Provider
- Military Hospital
- Eglin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- Legal business name
- INDIVIDUAL PROVIDER
- Practice address
- 307 Boatner Road Suite 114
96TH Medical Group
Eglin, FL 32542 - Phone
- (850) 883-8600
- NPI assigned
- Aug 9, 2012
- Last updated
- Sep 14, 2012
- 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. Chuong Nguyen Thai, M.D.
- Title
- Major
- Phone
- (850) 883-9055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | NU | Primary |
Addresses
Primary practice location
307 Boatner Road Suite 114
96TH Medical Group
Eglin, FL 32542
Mailing address
307 Boatner Road Suite 114
96TH Medical Group
Eglin, FL 32542
Phone (850) 883-8600
National Provider Directory
National Provider Directory- Tax ID family
- Dfas
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Military Hospital
- Travis AFB, CA
- NPI 1396125860
-
- Dental Clinic/Center
- NPI 1639528441
-
- Psychiatric Hospital Unit
- Holland, OH
- NPI 1093256059
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Student in an Organized Health Care Education/Training Program
- Hurlburt Field, FL
- NPI 1982956769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347580800000",
"number": "1376890293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER ROAD SUITE 114",
"address_2": "96TH MEDICAL GROUP",
"city": "EGLIN",
"state": "FL",
"postal_code": "32542",
"telephone_number": "850-883-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER ROAD SUITE 114",
"address_2": "96TH MEDICAL GROUP",
"city": "EGLIN",
"state": "FL",
"postal_code": "32542",
"telephone_number": "850-883-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIVIDUAL PROVIDER",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-09",
"last_updated": "2012-09-14",
"status": "A",
"authorized_official_last_name": "THAI",
"authorized_official_first_name": "CHUONG",
"authorized_official_middle_name": "NGUYEN",
"authorized_official_title_or_position": "MAJOR",
"authorized_official_telephone_number": "850-883-9055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eglin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.