Active NPI
Phuc Kim Hoang Nguyen, D.O
- Emergency Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.011832
- Practice address
- 5969 E Broad St
Columbus, OH 43213-1546 - Phone
- (614) 234-7090
- NPI assigned
- Oct 18, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.011832 | OH | Primary |
Addresses
Primary practice location
5969 E Broad St
Columbus, OH 43213-1546
Mailing address
5969 E Broad St
Columbus, OH 43213-1546
Phone (614) 234-7090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820010638 | OH | Practitioner - Emergency Medicine | 1153636063 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio University, College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Knox Emergency Services LLC
Practice addresses (Care Compare)
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (740) 393-9000
Hospital & facility affiliations
- Knox Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.011832 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox Emergency Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America - Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America - Ohio LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
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.
-
- Emergency Medicine Physician
- Mount Vernon, OH
- NPI 1861450066
Emergency Medicine, OH
-
- Emergency Medicine Physician
- Westerville, OH
- NPI 1477086346
Emergency Medicine, OH
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
Emergency Medicine, OH
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
Emergency Medicine, OH
-
- Emergency Medicine Physician
- Lewis Center, OH
- NPI 1306351143
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1497008148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5969 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131546",
"telephone_number": "614-234-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5969 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131546",
"telephone_number": "614-234-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUC",
"middle_name": "KIM HOANG",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.011832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.