Individual provider Active NPI

Uyen D Nguyen, MD

  • Pediatrics Physician
  • Bogalusa, LA
National Provider Identifier
1558653915
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.207079 Issued in LA
Practice address
433 Plaza St Ste 1a
Bogalusa, LA 70427-3729
Phone
(985) 730-6970
Fax
(985) 730-6398
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301108852 MI
Pediatrics Physician 208000000X MD.207079 LA Primary

Addresses

Primary practice location

433 Plaza St Ste 1a
Bogalusa, LA 70427-3729

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (985) 730-6970

Other practice location 1

1430 Lindberg Dr
Slidell, LA 70458-8056
Phone (985) 781-7337

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address unguyen5165744@direct.casso.us.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140724001737 LA Practitioner - Pediatric Medicine 9931325164 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Angels Hospital, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Children'S Urgent Care, LLC Pediatrics CurrentSince Dec 1, 2021 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince May 6, 2024 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Jan 10, 2017 Accepting new patients
Wash-St Tammany Reg Medical Center Current Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients
Washington St. Tammany Regional Medical Center PastSince Oct 2, 2022 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

6725 Siegen Ln
Ste A
Baton Rouge, LA 70809
Phone (225) 612-3403

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

433 Plaza St
Ste 514
Bogalusa, LA 70427
Phone (985) 730-7023

433 Plaza St
Ste 1A
Bogalusa, LA 70427
Phone (985) 730-6970

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

728 W 11th Ave
Covington, LA 70433
Phone (985) 730-7195

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

3663 Highway 190
Ste 10
Mandeville, LA 70471
Phone (985) 272-1396

3663 Highway 190
Ste 100
Mandeville, LA 70471
Phone (985) 272-1396

Interoperability endpoints

  • Direct secure messaging: unguyen5165744@direct.casso.us.com

Organizations & group practices 7

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1558653915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-6970",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST STE 1A",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-6398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Lindberg Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588056",
            "country_code": "US",
            "telephone_number": "985-781-7337",
            "fax_number": "985-781-7339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "UYEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301108852",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.207079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "433 Plaza St Ste 1A",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "unguyen5165744@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unguyen5165744@direct.casso.us.com",
            "address_1": "433 Plaza St Ste 1A",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.