DR. VINCENT DONG PHAN


Address: 1350 Hickory St, Melbourne, FL 32901-3224
Phone: 3214341771

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE IH482W 01
FL 015599300 05
FL FL RR MEDICARE P02395742 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1350 Hickory St, Melbourne, FL 329013224 3214341771 3214341775

Other Providers VINCENT PHAN

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

Office Location

Street Address 1350 HICKORY ST
City MELBOURNE
State FL
Zip Code 32901-3224

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

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.

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