Active NPI
Long Ngoc Van, AA
- Anesthesiologist Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 1694
- Practice address
- 2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817 - Phone
- (713) 620-4000
- NPI assigned
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 1694 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Phone (713) 620-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7601 Preston Rd
Plano, TX 75024-3214
Phone (214) 456-9250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1694 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Anesthesiologist Assistant | Current | Accepting new patients |
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Complex Care Medical Services Corporation | Past | Accepting new patients |
Locations
1935 Medical District Dr
Unit A
Dallas, TX 75235
1935 Medical District Dr
Ste EL171
Dallas, TX 75235
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Anesthesiologist Assistant
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1477967800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "STE. 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "STE. 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN",
"first_name": "LONG",
"middle_name": "NGOC",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "TX",
"license": "1694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.