Active NPI
Nam N Duong, PAC
- Medical Physician Assistant
- Lemoyne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA052868
- Practice address
- 50 N 12TH St
Lemoyne, PA 17043-1440 - Phone
- (717) 234-2561
- Fax
- (717) 236-1121
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA052868 | PA | Primary |
Addresses
Primary practice location
50 N 12TH St
Lemoyne, PA 17043-1440
Mailing address
50 N 12TH St
Lemoyne, PA 17043-1440
Phone (717) 234-2561
Other practice location 1
220 Wilson St Ste 104
Carlisle, PA 17013-3697
Phone (717) 234-2561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA052868 | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141
50 N 12TH St
Pshmg Pulmonary Crit
Lemoyne, PA 17043-1440
Phone (717) 234-2561
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients |
Locations
220 Wilson St
Ste 104
Carlisle, PA 17013
Phone (717) 218-1832
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
50 N 12th St
Lemoyne, PA 17043
Phone (717) 243-2561
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.
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Psychiatry Physician
- Camp Hill, PA
- NPI 1225783871
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Enola, PA
- NPI 1164029658
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730206111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N 12TH ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431440",
"telephone_number": "717-234-2561",
"fax_number": "717-236-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N 12TH ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431440",
"telephone_number": "717-234-2561",
"fax_number": "717-236-1121"
}
],
"practiceLocations": [
{
"address_1": "220 Wilson St Ste 104",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170133697",
"country_code": "US",
"telephone_number": "717-234-2561",
"fax_number": "717-236-1121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUONG",
"first_name": "NAM",
"middle_name": "N",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA052868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MA052868",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lemoyne, PA
- Dialysis Services of Pennsylvania, Inc- Lemoyne
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- Drayer Physical Therapy Institute LLC
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- Diane Helen Du Pont, CNM
- Alexis Ebling-Stout, RPH
- Todd S Eckroth, PA
- Ella Home Care Inc
- Embracing Connections Counseling LLC
- Rose Nancy Eskin, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.