Individual provider Active NPI

Quoc Bao Nhu Dang, D.O.

  • Surgery Physician
  • Hollywood, FL
National Provider Identifier
1881932895
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS14038 Issued in FL
Practice address
3475 Sheridan St Ste 201
Hollywood, FL 33021-3659
Phone
(786) 209-3451
Fax
(786) 431-2509
NPI assigned
Jan 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS14038 FL Primary

Addresses

Primary practice location

3475 Sheridan St Ste 201
Hollywood, FL 33021-3659

Mailing address

1521 Alton Rd Ste 729
Miami Beach, FL 33139-3301
Phone (786) 209-3451

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
I20190222000293 FL Practitioner - General Surgery 6800165390

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Healthcare Holdings, LLLP CurrentSince Sep 1, 2022 Accepting new patients
Hoover Family Medicine PA Past Accepting new patients

Locations

2400 SW 69th Ave
Ste 100
Miami, FL 33155

Interoperability endpoints

  • Direct secure messaging: lmcqdang@yourcarecommunity.org

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": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1881932895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 ALTON RD STE 729",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393301",
            "telephone_number": "786-209-3451",
            "fax_number": "786-431-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST STE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213659",
            "telephone_number": "786-209-3451",
            "fax_number": "786-431-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "QUOC BAO",
        "middle_name": "NHU",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS14038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.