Khanh Q Nguyen (NPI# 1164417010, PAC ID# 0143404640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164417010 |
| PAC ID by PECOS | 0143404640 |
| Professional Enrollment ID | I20110407000372 |
| Full Name | Khanh Q Nguyen |
| Organization Legal Name | QSS-SOUTHEAST CLINICAL SERVICES LLC |
| Address |
4215 Edgewater Dr Orlando FL 32804-2206 |
| Phone Number | 4075392000 |
| Gender | M |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648419234 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| 100006 | ORLANDO HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 4215 Edgewater Dr, Orlando, FL 32804-2206 | 4075392000 | QSS-SOUTHEAST CLINICAL SERVICES LLC |
| Organization Legal Name | QSS-SOUTHEAST CLINICAL SERVICES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Hammoor | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Edmund Abate Iii | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Jason Descalso | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| John L Steele | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Gueorgui T Maltchev | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Wilberto Olivera | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Kenneth E Baker | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Richard Kent Chapman | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Christopher Kondor | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Jennifer Cooper | Nurse Practitioner | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Street Address |
4215 EDGEWATER DR |
| City | ORLANDO |
| State | FL |
| Zip | 32804-2206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Hammoor | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Edmund Abate Iii | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Jason Descalso | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| John L Steele | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Gueorgui T Maltchev | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Wilberto Olivera | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Kenneth E Baker | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Richard Kent Chapman | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Christopher Kondor | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Jennifer Cooper | Nurse Practitioner | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Lucking | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Norbert Garcia-henriquez | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Mukesh Kumar | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Johnson P Massey | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Robert L Barrett Jr. | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Jooby John | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Patrick F Mathias | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Kevin Lee Pressley | Internal Medicine | 4474 Edgewater Dr, Orlando, FL 32804-1216 | |
| Jeffery Szarzanowicz | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Scott D Poag | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Find all physicians in zip 32804 | |||
| City | ORLANDO |
| Zip Code | 32804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ORLANDO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Khanh Q Nguyen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.