Active NPI
John Duong
- Medical Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9117539
- Practice address
- 12500 N Dale Mabry Hwy Ste a
Tampa, FL 33618-2809 - Phone
- (813) 960-7533
- NPI assigned
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9117539 | FL | Primary |
Addresses
Primary practice location
12500 N Dale Mabry Hwy Ste a
Tampa, FL 33618-2809
Mailing address
38135 Market Square
Zephyrhills, FL 33542-7505
Phone (352) 567-0188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12500 N Dale Mabry Hwy
Tampa, FL 33618-2809
38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195
38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414
38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380
38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440
38135 Market Square Dr
Zephyrhills, FL 33542-7505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117539 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Florida Medical Clinic LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Florida Medical Clinic, LLC | Current | Accepting new patients |
Locations
12500 N Dale Mabry Hwy
Ste A
Tampa, FL 33618
Phone (813) 960-7533
38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Zephyrhills, FL
- NPI 1982381299
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1427814847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688774400000",
"number": "1407435647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQUARE",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "352-567-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 N DALE MABRY HWY STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182809",
"telephone_number": "813-960-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9117539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.