Active NPI
Phung Duc Nguyen, M.D
- Psychiatry Physician
- Clermont, FL
National Provider Identifier
1801332424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME56547
- Practice address
- 19225 US Highway 27
Clermont, FL 34715-9025 - Phone
- (352) 989-9301
- NPI assigned
- Jan 7, 2017
- Last updated
- Jan 7, 2017
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME56547 | FL | Primary |
Addresses
Primary practice location
19225 US Highway 27
Clermont, FL 34715-9025
Mailing address
13151 Moro CT
Winter Garden, FL 34787-5016
Phone (407) 347-8003
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME56547 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483747200000",
"number": "1801332424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13151 MORO CT",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875016",
"telephone_number": "407-347-8003",
"fax_number": "407-347-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19225 US HIGHWAY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347159025",
"telephone_number": "352-989-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUNG",
"middle_name": "DUC",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-07",
"last_updated": "2017-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME56547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.