Individual provider Active NPI

Ann Thuy Nguyen, M.D.

  • Gynecology Physician
  • Destin, FL
National Provider Identifier
1962518811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME77139 Issued in FL
Practice address
4012 Commons Dr W
Suite 100
Destin, FL 32541-8422
Phone
(850) 837-0576
Fax
(850) 837-1051
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME77139 FL Primary

Addresses

Primary practice location

4012 Commons Dr W
Suite 100
Destin, FL 32541-8422

Mailing address

PO Box 936
Shalimar, FL 32579-0936
Phone (850) 837-0576

Other identifiers 1

IdentifierTypeStateIssuer
49256OtherFLBCBS

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
I20120127000348 FL Practitioner - Obstetrics/Gynecology 7517063001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Gynecology, Inc.Group PAC ID 1153598412, 2 clinicians

Practice addresses (Care Compare)

1823 Hulburt Rd
Suite 7
Ft. Walton Beach, FL 32547-3748
Phone (850) 862-8547

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77139FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Gynecology, Inc. Gynecology CurrentSince Nov 1, 2000 Accepting new patients
Coastal Urology P a Past Accepting new patients
White-Wilson Medical Center PA Past Accepting new patients

Locations

4012 Commons Dr W
Ste 100
Destin, FL 32541
Phone (850) 837-0442

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962518811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325790936",
            "telephone_number": "850-837-0576",
            "fax_number": "850-837-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 COMMONS DR W",
            "address_2": "SUITE 100",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418422",
            "telephone_number": "850-837-0576",
            "fax_number": "850-837-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANN",
        "middle_name": "THUY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME77139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49256",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.