Andrew Nguyen MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME43248 Issued in FL

Legal business name

ANDREW NGUYEN MD PA

Practice address

308 N Main Street
Trenton, FL 32693

Phone

(352) 463-7381

Fax

(352) 463-7273

NPI assigned

May 21, 2010

Organization subpart

No

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

Authorized official

Name

Andrew Nguyen, MD

Title

MD

Phone

(352) 463-7381

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1487973012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N MAIN STREET",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "32693",
            "telephone_number": "352-463-7381",
            "fax_number": "352-463-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MAIN STREET",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "32693",
            "telephone_number": "352-463-7381",
            "fax_number": "352-463-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW NGUYEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-463-7381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME43248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0680028-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AV-MED",
            "identifier": "233749",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "05067200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0680028-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Active Wellness Group LLC
• Rana Azhan Ahmad, DDS
• Andrews Healthcare Consulting
• Logan Andrews, APRN, FNP-BC
• Rebecca Hope Arrington, LMT
• Ayers Health & Rehabilitation Center, LLC
• Ayers Lessee LLC

• All providers in Trenton, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.