Active NPI
Tai Quyen Nguyen, MD
- Neurological Surgery Physician
- Jacksonville, FL
National Provider Identifier
1851365357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME35897
- Practice address
- 580 W 8TH St
Ufjp Neurosurgery
Jacksonville, FL 32209-6533 - Phone
- (904) 244-9053
- Fax
- (904) 244-3425
- NPI assigned
- Feb 14, 2006
- Last updated
- Aug 30, 2007
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME35897 | FL | Primary |
Addresses
Primary practice location
580 W 8TH St
Ufjp Neurosurgery
Jacksonville, FL 32209-6533
Mailing address
PO Box 44008
Ufjp Neurosurgery
Jacksonville, FL 32231-4008
Phone (904) 244-9053
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1851365357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP NEUROSURGERY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-9053",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W 8TH ST",
"address_2": "UFJP NEUROSURGERY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096533",
"telephone_number": "904-244-9053",
"fax_number": "904-244-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TAI",
"middle_name": "QUYEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME35897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.