Individual provider Active NPI

Trung Quoc Nguyen, DO

  • Surgery Physician
  • Clare, MI
National Provider Identifier
1972768711
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101016626 Issued in MI
Practice address
602 Beech St
Clare, MI 48617-1466
Phone
(989) 802-8867
NPI assigned
Jul 22, 2008
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 5101016626 MI Primary

Addresses

Primary practice location

602 Beech St
Clare, MI 48617-1466

Mailing address

602 Beech St
Clare, MI 48617-1466
Phone (989) 802-8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20181121000112 OR Practitioner - General Surgery 0941480933 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harney District HospitalGroup PAC ID 6800877424, 35 clinicians

Practice addresses (Care Compare)

271 N Egan Ave
Burns, OR 97720-1733
Phone (541) 573-4099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
71.18
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Hospital District CurrentSince Feb 1, 2020 Accepting new patients
Blue Mountain Hospital District Current Accepting new patients
Harney District Hospital CurrentSince Nov 5, 2018 Accepting new patients
Wound Care Zone PLLC PastSince Feb 23, 2025 Accepting new patients
Harney District Hospital Past Accepting new patients

Locations

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

Interoperability endpoints

  • Direct secure messaging: tnguyen85055@secure.stcharleshealthcare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/
  • Direct secure messaging: tnguyen3809546@oc.providencedirect.org

Organizations & group practices 5

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 2

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1972768711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171466",
            "telephone_number": "989-802-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171466",
            "telephone_number": "989-802-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRUNG",
        "middle_name": "QUOC",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101016626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

Verify at the official NPI Registry.