Individual provider Active NPI

Hanson Nguyen, MD

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1811928237
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95889 Issued in FL
Practice address
2037 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4416
Phone
(407) 288-8157
Fax
(855) 633-7729
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME95889 FL Primary

Addresses

Primary practice location

2037 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4416

Mailing address

2037 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4416
Phone (407) 749-8877

Other identifiers 1

IdentifierTypeStateIssuer
ME95889OtherFLMEDICAL LICENSE

Other names 1

  • Dong Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000471 FL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 4789774555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Apr 8, 2019 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Apr 8, 2019 Accepting new patients

Locations

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

701 Overlook Dr
Winter Haven, FL 33884
Phone (440) 897-4911

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1811928237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444416",
            "telephone_number": "407-749-8877",
            "fax_number": "855-633-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444416",
            "telephone_number": "407-288-8157",
            "fax_number": "855-633-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HANSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME95889",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONG",
            "last_name": "NGUYEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.