MR. MAURICE PHUONG NGUYEN (NPI# 1811230220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811230220 |
| Entity Type | Individual |
| Full Name | MR. MAURICE PHUONG NGUYEN |
| Credential | D.O. |
| Practice Address |
1650 Cochrane Cir Fort Carson CO 80913 |
| Mailing Address |
1650 Cochrane Cir Fort Carson CO 80913-4613 |
| Practice Telephone | 7195242949 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1247 | NE | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 1247 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Unit 15244 Box 263, Hhd 121 Csh, Apo, AP 962055244 | 3157371165 |
| Street Address |
1650 COCHRANE CIR |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899780 | Jonathan Tyler Froshaug | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1841809837 | Andrew Finn | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1750999512 | Vimarys Leiwalo | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-17 |
| 1184263683 | John Rising | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-12-31 |
| 1215595665 | Jonathan Maten | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1053979401 | Daniel Matthes | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1114585569 | Adam Clements | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1619532520 | Savanna Ann Klippel | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-06 |
| 1689139057 | John Nunn | Family Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-02-09 |
| 1326512781 | Joshua Hickman | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275592099 | Benjamin Paul Choate IIi | Pediatrics | Fort Carson Meddac, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2006-03-21 |
| 1902874050 | Timothy Arthur Marean | Pediatrics | Barkeley Ave Building 1041, Diraimondo Family Clinic, Fort Carson, CO 80913 | 2006-03-14 |
| 1689654279 | Athena Joyce Stoyas | Pediatrics | Usa Meddace, Evans Army Community Hospital, Department of Pediatrics, Fort Carson, CO 80913-4604 | 2006-01-19 |
| 1316927981 | Debra Momilani Williams | Pediatrics | Evans Army Community Hospital (each) Usa Meddac, Each Pediatric Clinic Room #1221, Fort Carson, CO 80913-4604 | 2006-01-19 |
| 1518495951 | Kyle Rollins | Pediatrics | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2017-05-30 |
| 1265795355 | Eamon L Filan | Pediatrics | 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 | 2012-06-22 |
| 1770873796 | Ross Darrell Flake | Pediatrics | 1650 Cochrane Cir, Bldg 7503 Room 2147, Fort Carson, CO 80913-4613 | 2011-04-11 |
| 1346408002 | Jason Michael Smalley | Pediatrics | 1650 Cochrane Cir # B7500, Fort Carson, CO 80913-4613 | 2008-05-29 |
| 1174799019 | Ila Cheree Moffitt | Pediatrics | 1650 Cochrane Cir, Fort Carson, CO 80913 | 2008-04-30 |
| 1326092941 | Ajaykumar Jani | Pediatrics | 1650 Cochrane Cir, Premier Health Clinic, Fort Carson, CO 80913-4613 | 2006-05-19 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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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.