Active NPI
Chuong Thanh Le, M.D.
- General Practice Physician
- Raiford, FL
National Provider Identifier
1508099946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME 50042
- Practice address
- 7819 NW 228TH Street
Raiford, FL 32026 - Phone
- (904) 368-3454
- Fax
- (904) 368-3475
- NPI assigned
- Sep 2, 2009
- Last updated
- Sep 2, 2009
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME 50042 | FL | Primary |
Addresses
Primary practice location
7819 NW 228TH Street
Raiford, FL 32026
Mailing address
7819 NW 228TH Street
Raiford, FL 32026
Phone (904) 368-3454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 50042 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1508099946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7819 NW 228TH STREET",
"city": "RAIFORD",
"state": "FL",
"postal_code": "32026",
"telephone_number": "904-368-3454",
"fax_number": "904-368-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 NW 228TH STREET",
"city": "RAIFORD",
"state": "FL",
"postal_code": "32026",
"telephone_number": "904-368-3454",
"fax_number": "904-368-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CHUONG",
"middle_name": "THANH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME 50042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raiford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.