Thanh M Nguyen, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

ME101652 Issued in FL

Practice address

12086 Fort Caroline Rd
Ste 401
Jacksonville, FL 32225-2687

Phone

(904) 565-1271

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

EndocrinologyAlso: Pediatric Medicine

Education

Ohio State University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sunshine Medical Specialists, LLC

  • Pediatric Endocrinology Physician
  • Jacksonville, FL
  • NPI 1336780907
  Medicare reassignment NPD Authorized official
• Ellis Pediatrics, PLLC

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1134844426
  NPD
• Families First Medical Group LLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1154942563
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1831296656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-824-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD",
            "address_2": "STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252687",
            "telephone_number": "904-565-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME101652",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME101652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS / FLORIDA BLUE",
            "identifier": "41503",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nhu Bich Nguyen, PHARMD
• Phi Nguyen
• Skylar Ngoc Hoan Nguyen
• Tai Quyen Nguyen, MD
• Thanh Nguyen, PA
• Thi Nguyen
• Thomas Nguyen
• Trang Thu Thi Nguyen, APRN
• Tuyet-Minh Thi Nguyen, DMD
• Hoa Tuyet Nguyenpho, M.D.

• Pediatric Endocrinology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Endocrinology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.