Phuong Hoai Nguyen-Antonio, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Practice address

1373 Westgate Center Drive
Suite 210
Winston Salem, NC 27103-2934

Phone

(336) 760-6667

Fax

(336) 760-6648

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1740379379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 WESTGATE CENTER DR",
            "address_2": "SUITE 210",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033051",
            "telephone_number": "336-760-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 WESTGATE CENTER DRIVE",
            "address_2": "SUITE 210",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032934",
            "telephone_number": "336-760-6667",
            "fax_number": "336-760-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-ANTONIO",
        "first_name": "PHUONG",
        "middle_name": "HOAI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Newton, PHARMD
• Matthew Johnathan Newton, CRNA
• Sarah Newton, MA, CCC-SLP
• Nexxus Family Care Services
• Jennifer Ngo
• Brigitte Shiem Nguyen, PA
• Cynthia Nguyen, DO
• Katherine Thi Nguyen, D.O.
• Kelly Tram Anh Nguyen, DMD
• Lieuko Nguyen, M.D.

• Child & Adolescent Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.