DR. KIM-PHUNG NGUYEN (NPI# 1982990065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982990065 |
| Entity Type | Individual |
| Full Name | DR. KIM-PHUNG NGUYEN |
| Credential | M.D. |
| Practice Address |
110 W Underwood St Suite A Orlando FL 32806-1139 |
| Mailing Address |
86 W Underwood St Suite 201 Orlando FL 32806-1110 |
| Practice Telephone | 4074223790 |
| Practice Fax Number | 4078515058 |
| Mailing Telephone | 4074223790 |
| Mailing Fax Number | 4078515058 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2016-06-28 |
| 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 | ME127435 | FL | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 2011016860 | MO | Student, Health Care |
| Street Address |
110 W UNDERWOOD ST SUITE A |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143676 | Paul Richard Williamson | Colon & Rectal Surgery | 110 W Underwood St, Ste A, Orlando, FL 32806-1139 | 2005-06-01 |
| 1902127533 | Underwood Anesthesia Services Inc | Anesthesiology | 110 W Underwood St, Suite B, Orlando, FL 32806-1139 | 2010-06-17 |
| 1457515066 | Joshua Robert Karas | Colon & Rectal Surgery | 110 W Underwood St, Suite A, Orlando, FL 32806-1139 | 2008-07-12 |
| 1134301427 | Williamson Ferrara Gallagher & Dejesus Md Pa | Specialist | 110 W Underwood St, Ste A, Orlando, FL 32806-1139 | 2007-11-29 |
| 1841491313 | Alicia Josephine Logue | Surgery | 110 W Underwood St, Suite A, Orlando, FL 32806-1139 | 2007-05-30 |
| 1134249386 | Renee Mueller | Colon & Rectal Surgery | 110 W Underwood St, Suite A, Orlando, FL 32806-1139 | 2007-03-30 |
| 1417041468 | Surgical Licensed Ward Partners LLP | Clinic/Center | 110 W Underwood St, Suite B, Orlando, FL 32806-1139 | 2006-10-03 |
| 1407850779 | Andrea Ferrara | Colon & Rectal Surgery | 110 W Underwood St, Ste A, Orlando, FL 32806-1139 | 2005-06-02 |
| 1902808173 | Joseph Thomas Gallagher | Colon & Rectal Surgery | 110 W Underwood St, Ste A, Orlando, FL 32806-1139 | 2005-06-01 |
| 1497757645 | Samuel Dejesus | Colon & Rectal Surgery | 110 W Underwood St, Ste A, Orlando, FL 32806-1139 | 2005-06-01 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407463508 | Michelle A Trak | Student in an Organized Health Care Education/Training Program | 2201 Research Parkway Suite 300, Orlando, FL 32816-0001 | 2020-09-23 |
| 1821619263 | Matthew Robin | Student in an Organized Health Care Education/Training Program | 10135 Brandon Cir, Orlando, FL 32836-3712 | 2020-04-27 |
| 1669092292 | Daniel Duybinh Nguyen | Student in an Organized Health Care Education/Training Program | 10030 Dean Chase Blvd, Orlando, FL 32825-4850 | 2020-04-23 |
| 1326668229 | Zachary Thomas Felsberg | Student in an Organized Health Care Education/Training Program | 3113 Eagle Blvd, Orlando, FL 32804-3703 | 2020-04-21 |
| 1225667934 | Zamaris Rivera | Student in an Organized Health Care Education/Training Program | 12805 Pegasus Drive, Room 123, Orlando, FL 32816 | 2020-04-04 |
| 1447889159 | Zoe Rocke | Student in an Organized Health Care Education/Training Program | 3849 Township Square Blvd Apt 823, Orlando, FL 32837-5386 | 2020-04-04 |
| 1114556800 | Ronald Bosco Benard Saborio | Student in an Organized Health Care Education/Training Program | 121 Glowing Peace Ln, Orlando, FL 32824-6141 | 2020-04-03 |
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1760010565 | Noeline Mukawera Ndwaniye | Student in an Organized Health Care Education/Training Program | 12012 Lake Cypress Cir Apt C304, Orlando, FL 32828-7069 | 2020-03-29 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on DR. KIM-PHUNG NGUYEN.
| 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.