Individual provider Active NPI

Phuong Hoang Vuong, MD

  • Pulmonary Disease Physician
  • Middletown, OH
National Provider Identifier
1538234331
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35056968 Issued in OH
Practice address
200 Medical Center Dr
Suite 180B
Middletown, OH 45005-5200
Phone
(513) 420-8030
Fax
(513) 425-7202
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35056968 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35056968 OH
Pulmonary Disease Physician 207RP1001X 35056968 OH Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 180B
Middletown, OH 45005-5200

Mailing address

200 Medical Center Dr
Suite 180B
Middletown, OH 45005-5200
Phone (513) 420-8030

Other identifiers 1

IdentifierTypeStateIssuer
0723391MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000317 OH Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2769526219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35056968OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 1, 2011 Accepting new patients
Ancillary Services of Middletown Internal Medicine Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

200 Medical Center Dr
Ste 180B
Middletown, OH 45005
Phone (513) 420-8030

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1538234331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 180B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-420-8030",
            "fax_number": "513-425-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 180B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-420-8030",
            "fax_number": "513-425-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "PHUONG",
        "middle_name": "HOANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35056968",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35056968",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35056968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.