DR. VINCENT DONG PHAN (NPI# 1083973150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083973150 |
| Entity Type | Individual |
| Full Name | DR. VINCENT DONG PHAN |
| Practice Address |
1350 Hickory St Melbourne FL 32901-3224 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214341771 |
| Practice Fax Number | 3214341775 |
| Mailing Telephone | 3214341771 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME122707 | FL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | ME122707 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | IH482W | 01 |
| FL | 015599300 | 05 | |
| FL | FL RR MEDICARE | P02395742 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Hickory St, Melbourne, FL 329013224 | 3214341771 | 3214341775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578958872 | Vincent Phan | Non-emergency Medical Transport (VAN) | 323 Morningside Cir, Saint Paul, MN 55119-5369 | 2015-04-02 |
| 1801436878 | Vincent The Phan | Behavior Technician | 677 Cliffside Dr, San Dimas, CA 91773-2957 | 2020-01-08 |
| 1205948296 | Vincent C Phan | Orthopaedic Surgery | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2006-08-31 |
| Street Address |
1350 HICKORY ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159670 | Igor Balatsky | Internal Medicine | 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901-3224 | 2005-07-29 |
| 1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
| 1316565492 | Megan Bellinger | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-07-06 |
| 1427673011 | Jessica Joy Milnor | Nurse Anesthetist, Certified Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-06-10 |
| 1487274205 | Eric Cuthbert | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-04-22 |
| 1366061970 | Lisa Kistler | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-14 |
| 1194344168 | Tracy Eichelberger | Respiratory Therapist, Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-10 |
| 1477198752 | Matthew Robert Ferraro | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-11-11 |
| 1356983092 | Parvin Deidri Daneshvar | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-10-15 |
| 1972155489 | David Nester Lucas | Family Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195083 | Michael Scott Gavigan | Hospitalist | 1314 Oak St, Melbourne, FL 32901 | 2018-12-17 |
| 1215435870 | Khashaba LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-30 |
| 1790283661 | Dr Joseph D Paolucci Md Pa LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-25 |
| 1952835399 | William Johnson Jr. | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2017-04-12 |
| 1902258775 | Lisa Linder | Hospitalist | 1314 Oak St, Melbourne, FL 32901-3111 | 2016-07-06 |
| 1831552264 | Daniel Cordiner | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2016-04-02 |
| 1215324512 | Stephen Dodson | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2015-04-24 |
| 1477940260 | Wael Sankar | Hospitalist | 8745 N Wickham Rd, Melbourne, FL 32940 | 2015-04-20 |
| 1225442569 | Idljona Gllava | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-06-15 |
| 1942620596 | Patrick Kyle Evers | Hospitalist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-04-22 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.