MAI THI TRUC PHUNG (NPI# 1912114216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912114216 |
| Entity Type | Individual |
| Full Name | MAI THI TRUC PHUNG |
| Credential | MD |
| Practice Address |
83 W Miller St Orlando FL 32806-2031 |
| Mailing Address |
1500 Concord Ter Sunrise FL 33323-2815 |
| Practice Telephone | 4078415218 |
| Practice Fax Number | 4076496939 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548580404 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
ME98813 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278518800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184645020 | Mai T Phung | Family Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2006-07-23 |
| Street Address |
83 W MILLER ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094053 | Michael James Stroup | Obstetrics & Gynecology | 83 W Miller St, Orlando, FL 32806-2028 | 2005-06-22 |
| 1326660978 | Jacqueline Frazer | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2009 | 2020-05-16 |
| 1649892324 | Angela Ellen Mckee | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2031 | 2020-05-15 |
| 1487283024 | Darianna Rosado Isales | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2031 | 2020-04-06 |
| 1891321832 | Lauren Nicole Bauler | Nurse Anesthetist, Certified Registered | 83 W Miller St, Orlando, FL 32806-2031 | 2020-03-22 |
| 1255967451 | Da Young Lee | Nurse Anesthetist, Certified Registered | 83 W Miller St, Orlando, FL 32806-2031 | 2020-03-19 |
| 1134755382 | Christina Britt Suhr | Nurse Anesthetist, Certified Registered | 83 W Miller St, Orlando, FL 32806-2031 | 2020-03-19 |
| 1376174722 | Brittany Nichols Simpson | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2009 | 2020-02-03 |
| 1639717705 | Susan Marie Bowles | Clinical Nurse Specialist | 83 W Miller St, Orlando, FL 32806-2031 | 2019-12-19 |
| 1679111546 | Teresa Lance | Clinical Nurse Specialist | 83 W Miller St, Orlando, FL 32806-2031 | 2019-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1730518085 | John J Esslinger | Pediatrics | 8427 Southpark Cir, Suite 500, Orlando, FL 32819-9058 | 2013-11-07 |
| 1275823247 | Sarah A. Bajorek | Pediatrics | 83 W Miller St # Mp324, Orlando, FL 32806-2031 | 2011-04-12 |
| 1568493310 | Hilton M Bernstein | Pediatrics | 2718 N Orange Ave Ste B, Orlando, FL 32804-7611 | 2006-07-06 |
| 1689146680 | Kimberly Turner | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-01-02 |
| 1891159901 | Beth Williams | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2016-04-06 |
| 1588049704 | Sheila Stevens-abplanalp | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2015-07-29 |
| 1023412228 | Kimberly Sperber | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2014-10-16 |
| 1477963262 | Jenifer Cuestas | Pediatrics | 83 W Miller St, Orlando, FL 32806-2009 | 2014-05-01 |
| 1598105801 | Stacy Ann Marie Stanford | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2013-07-01 |
| 1952746703 | Johanna Ivich | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2013-05-07 |
| Find all providers in ORLANDO | ||||
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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.