Active NPI
Thuc-VI Nguyen, PA-C
- Physician Assistant
- Broken Arrow, OK
National Provider Identifier
1629579792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2856
- Practice address
- 5808 W Twin Oaks St
Broken Arrow, OK 74011-1573 - Phone
- (918) 408-6152
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2856 | OK | Primary |
Addresses
Primary practice location
5808 W Twin Oaks St
Broken Arrow, OK 74011-1573
Mailing address
5808 W Twin Oaks St
Broken Arrow, OK 74011-1573
Phone (918) 408-6152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Country Infectious Disease PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Muskogee, OK
- NPI 1265757827
-
- Infectious Disease Physician
- Broken Arrow, OK
- NPI 1639639321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1629579792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5808 W TWIN OAKS ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740111573",
"telephone_number": "918-408-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5808 W TWIN OAKS ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740111573",
"telephone_number": "918-408-6152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUC-VI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.