CHOM PHOU NGUYEN (NPI# 1427669357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427669357 |
Entity Type | Individual |
Full Name | CHOM PHOU NGUYEN |
Practice Address |
915 E Market Ave Searcy AR 72149-5615 |
Practice Telephone | 6789754780 |
Mailing Telephone | 5012795642 |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | AR | Student, Health Care |
Street Address |
915 E MARKET AVE |
City | SEARCY |
State | AR |
Zip Code | 72149-5615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447255823 | Julie C. Kissack | Specialist | 915 E Market Ave, Searcy, AR 72149-5615 | 2005-06-14 |
1629689294 | Katlin Joyce Brower | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-16 |
1831700657 | Dayton Parish | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-14 |
1013528728 | Audra Wallace | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-14 |
1508477563 | Mckenzie Madill | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-13 |
1629689773 | Maleah Paulovich | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-12 |
1477164747 | Nancy Jane Clark | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-11 |
1053922443 | Hannah Jeane | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-11 |
1962013359 | Ashley Hallbauer | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-11 |
1083225304 | Cimone Miner | Student in an Organized Health Care Education/Training Program | 915 E Market Ave, Searcy, AR 72149-5615 | 2020-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423557 | Joshua Hurt | Student in an Organized Health Care Education/Training Program | Hu 10514 915 E Market Ave, Searcy, AR 72149-0001 | 2019-02-14 |
1578029666 | Michael Ford Tikson | Student in an Organized Health Care Education/Training Program | Harding University Physician Assistant Program, Searcy, AR 72149-0001 | 2019-02-14 |
1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
1649881970 | Melanie Pasque | Student in an Organized Health Care Education/Training Program | Harding University Physician Assistant Program, Searcy, AR 72149-0001 | 2020-08-11 |
1043797954 | Tracy Mare | Student in an Organized Health Care Education/Training Program | Harding University Pa Program 915 E Market Ave, Searcy, AR 72149-4792 | 2018-07-24 |
1669027967 | Tyler Jeffrey Cardillo | Student in an Organized Health Care Education/Training Program | 915 E Market Ave # Hu12231, Searcy, AR 72149-5615 | 2019-08-05 |
1760828347 | Jeanie Monzingo Smith | Pharmacist | 915 E Market Ave # 12230, Searcy, AR 72149-5615 | 2013-05-22 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
1669027967 | Tyler Jeffrey Cardillo | Student in an Organized Health Care Education/Training Program | 915 E Market Ave # Hu12231, Searcy, AR 72149-5615 | 2019-08-05 |
1871059709 | Neelie Deshae Bean | Student in an Organized Health Care Education/Training Program | 23 Southpointe, Searcy, AR 72143-8438 | 2019-02-15 |
1194281188 | Haley Spencer | Student in an Organized Health Care Education/Training Program | 138 Field Crest Dr, Searcy, AR 72143-8427 | 2019-02-14 |
1518423557 | Joshua Hurt | Student in an Organized Health Care Education/Training Program | Hu 10514 915 E Market Ave, Searcy, AR 72149-0001 | 2019-02-14 |
1578029666 | Michael Ford Tikson | Student in an Organized Health Care Education/Training Program | Harding University Physician Assistant Program, Searcy, AR 72149-0001 | 2019-02-14 |
1043797954 | Tracy Mare | Student in an Organized Health Care Education/Training Program | Harding University Pa Program 915 E Market Ave, Searcy, AR 72149-4792 | 2018-07-24 |
1245765148 | Ammara Raziuddin | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave # Ar, Searcy, AR 72143-4810 | 2017-04-27 |
1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
1396159869 | Halley Jarrrett | Student in an Organized Health Care Education/Training Program | 1212 Roundabout Cir, Searcy, AR 72143-5967 | 2014-06-12 |
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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.