Individual provider Active NPI

Maung Maungoo, M.D.

  • Case Management Agency
  • Temple, TX
National Provider Identifier
1700023967
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
239633 Issued in NY
Practice address
1901 1 St Street
Temple
Temple, TX 76502-2816
Phone
(917) 280-8071
NPI assigned
Jan 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 239633 NY Primary

Addresses

Primary practice location

1901 1 St Street
Temple
Temple, TX 76502-2816

Mailing address

1901 1 St Street
Temple
Temple, TX 76502-2816
Phone (917) 280-8071

Other names 1

  • Maung Maung Oo Former name

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

LicenseStateTypeSpecialty
239633NYMDCase Management Agency

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1700023967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1 ST STREET",
            "address_2": "TEMPLE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022816",
            "telephone_number": "917-280-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1 ST STREET",
            "address_2": "TEMPLE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022816",
            "telephone_number": "917-280-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNGOO",
        "first_name": "MAUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2024-03-15",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "239633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUNG",
            "last_name": "MAUNG OO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.