Organization Active NPI

Nguyen Vu, MD, PA

  • Primary Care Clinic/Center
  • Orange City, FL
National Provider Identifier
1659644987
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME109751 Issued in FL
Legal business name
NGUYEN VU, MD, PA
Practice address
1656 S Volusia Ave
Orange City, FL 32763-7335
Phone
(386) 917-0007
Fax
(386) 917-0089
NPI assigned
Feb 16, 2012
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Dr. Nguyen Vu, M.D.NPI 1144265117
Title
President
Phone
(317) 506-3525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME109751 FL Primary

Addresses

Primary practice location

1656 S Volusia Ave
Orange City, FL 32763-7335

Mailing address

1656 S Volusia Ave
Orange City, FL 32763-7335
Phone (386) 917-0007

Other identifiers 2

IdentifierTypeStateIssuer
005965200MedicaidFL
004451300MedicaidFL

National Provider Directory

National Provider Directory

Locations

7209 Curry Ford Rd
Ste C
Orlando, FL 32822
Phone (386) 917-0007

201 Bellagio Cir
Sanford, FL 32771
Phone (386) 917-0007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1659644987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637335",
            "telephone_number": "386-917-0007",
            "fax_number": "386-917-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637335",
            "telephone_number": "386-917-0007",
            "fax_number": "386-917-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN VU, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-506-3525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME109751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005965200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004451300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.