Individual provider Active NPI

Hoang Oanh Thi Nguyen

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1912518523
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1880 Issued in AL
Practice address
2889 Sollie Rd Apt 204
Mobile, AL 36695-5534
Phone
(334) 406-1879
NPI assigned
Aug 17, 2020
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1880 AL Primary

Addresses

Primary practice location

2889 Sollie Rd Apt 204
Mobile, AL 36695-5534

Mailing address

2889 Sollie Rd Apt 1620
Mobile, AL 36695-5567
Phone (334) 406-1879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103000214 AL Practitioner - Physician Assistant 0345617486 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1880ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Mobile Urgent Care Multi-Specialty Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1912518523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 SOLLIE RD APT 1620",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366955567",
            "telephone_number": "334-406-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 SOLLIE RD APT 204",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366955534",
            "telephone_number": "334-406-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG OANH",
        "middle_name": "THI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.