Organization Active NPI

Mark Hoang MD PA

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1760803696
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARK HOANG MD PA
Practice address
639 N Mills Ave
Orlando, FL 32803-4640
Phone
(407) 897-3260
Fax
(407) 897-1112
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Uy Hoang, M.D.NPI 1396061099
Title
Owner
Phone
(407) 897-3260

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

639 N Mills Ave
Orlando, FL 32803-4640

Mailing address

639 N Mills Ave
Orlando, FL 32803-4640
Phone (407) 897-3260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140127000390 FL Part B Supplier - Clinic/Group Practice 3173752979 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

639 N Mills Ave
Orlando, FL 32803
Phone (407) 897-3260

518 E Colonial Dr
Orlando, FL 32803
Phone (407) 897-3260

Practitioners & affiliated clinicians

Practitioners 3

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": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1760803696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034640",
            "telephone_number": "407-897-3260",
            "fax_number": "407-897-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034640",
            "telephone_number": "407-897-3260",
            "fax_number": "407-897-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK HOANG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "UY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-897-3260",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family 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 Feb 20, 2014; 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.