LOI K. PHUONG


Address: 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: 2604362416

LOI K. PHUONG (NPI# 1841297041) 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) 1841297041
Entity Type Individual
Full Name LOI K. PHUONG
Credential M.D.
Practice Address 7956 W Jefferson Blvd
Fort Wayne
IN 46804-4140
Practice Telephone 2604362416
Practice Fax Number 2604366936
Mailing Telephone 2604362416
Mailing Fax Number 2604366936
Enumeration Date 2005-07-01
Last Update Date 2011-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 01057259A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200420740 05
MI 4657102 05
IN RR MEDICARE 140008277 01
OH 2382103 05

Office Location

Street Address 7956 W JEFFERSON BLVD
City FORT WAYNE
State IN
Zip Code 46804-4140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952308413 Isa S. Canavati Neurological Surgery 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2005-06-30
1689283327 Stephen Andrew Grote Physician Assistant 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-07-29
1265041016 Sara Mae Stout Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-07-28
1407481468 Kathryn M. Mckible Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-03-10
1841824893 Natasha L. Myers Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-02-28
1366901902 Adrienne Michelle Evans Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2019-03-13
1952883084 Kristin J. Abbs Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2018-09-05
1134655392 Nirupama Esther Jerome Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2017-05-10
1609324342 Melanie J. Heath Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2016-09-12
1164880605 Jennifer Lynn Ritchie Nurse Practitioner 7956 W Jefferson Blvd, Fort Wayne, IN 46804 2016-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326411158 Stephen B Schroeder Neurological Surgery 2318 Turnberry Lane, Fort Wayne, IN 46804 2015-11-02
1003062332 Fort Wayne Care Inc Neurological Surgery 347 W Berry St, Suite 216, Fort Wayne, IN 46802-2299 2008-08-18
1952308413 Isa S. Canavati Neurological Surgery 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2005-06-30
1104823590 Rudy A. Kachmann Neurological Surgery 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 2005-06-30
1225321664 Stephanie Reed Falatko Neurological Surgery 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 2011-05-18
1700043023 Jason M Voorhies Neurological Surgery 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 2008-05-22
1124297379 Allied Physicians Inc Neurological Surgery 2622 Lake Ave, Fort Wayne, IN 46805-5410 2008-02-21
1437360732 Rakesh Khatri Neurological Surgery 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 2007-05-25
1861603466 Shahnawaz H. Qureshi Neurological Surgery 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2007-05-24
1811105364 Guangbin Xia Neurological Surgery 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 2007-05-18
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

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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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