Organization Active NPI

Dr Ngo Medical Clinic PA

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1730417981
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR NGO MEDICAL CLINIC PA
Practice address
5168 W Colonial Dr
Suite 40
Orlando, FL 32808-7604
Phone
(407) 412-5936
Fax
(407) 601-0413
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Dr. Hung Q Ngo, MDNPI 1215115811
Title
Owner
Phone
(407) 412-5936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5168 W Colonial Dr
Suite 40
Orlando, FL 32808-7604

Mailing address

PO Box 1515
Windermere, FL 34786-1515
Phone (407) 412-5936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000287 FL Part B Supplier - Clinic/Group Practice 5496883183 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

5168 W Colonial Dr
Ste 40
Orlando, FL 32808
Phone (407) 412-5936

54 S Kirkman Rd
Ste E
Orlando, FL 32811
Phone (407) 292-4453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1730417981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347861515",
            "telephone_number": "407-412-5936",
            "fax_number": "407-601-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 W COLONIAL DR",
            "address_2": "SUITE 40",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087604",
            "telephone_number": "407-412-5936",
            "fax_number": "407-601-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NGO MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-412-5936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.