Nathan Phuc Nguyen (NPI# 1821256942, PAC ID# 5890859870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1821256942 |
| PAC ID by PECOS | 5890859870 |
| Professional Enrollment ID | I20090206000134 |
| Full Name | Nathan Phuc Nguyen |
| Organization Legal Name | EL CAMPO MEMORIAL HOSPITAL |
| Address |
1403 Valhalla Dr Wharton TX 77488-9218 |
| Phone Number | 9795322000 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406021765 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450694 | EL CAMPO MEMORIAL HOSPITAL |
| 450465 | MATAGORDA REGIONAL MEDICAL CENTER |
| 450820 | HOUSTON METHODIST SUGARLAND HOSPITAL |
| 450330 | OAKBEND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1403 Valhalla Dr, Wharton, TX 77488-9218 | 9795322000 | EL CAMPO MEMORIAL HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 2% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 2% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 46% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 46% |
| Organization Legal Name | EL CAMPO MEMORIAL HOSPITAL |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooke Dorotik | Family Medicine | El Campo Memorial Hospital | 1602 N Mechanic St, Midcoast Well Care, El Campo, TX 77437-2640 |
| Annette A Long | Nurse Practitioner | El Campo Memorial Hospital | 10358 Us Hwy 59 A, Wharton Walk In Clinic, Wharton, TX 77488 |
| Kathy Enright | Physician Assistant | El Campo Memorial Hospital | 3703 Fm 2765 Rd, El Campo, TX 77437-6399 |
| Tom Nokham Baccam | Family Medicine | El Campo Memorial Hospital | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Eldridge G Burns | Family Medicine | El Campo Memorial Hospital | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Carlos G Duque | Family Medicine | El Campo Memorial Hospital | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Thai D Huynh | Internal Medicine | El Campo Memorial Hospital | 1602 N Mechanic St, Midcoast Well Care, El Campo, TX 77437-2640 |
| Robert G Ogdee | Obstetrics/gynecology | El Campo Memorial Hospital | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Paul D Lifland | Orthopedic Surgery | El Campo Memorial Hospital | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Clay R Zboril | Physician Assistant | El Campo Memorial Hospital | 303 Sandy Corner Rd, El Campo, TX 77437-9535 |
| Street Address |
1403 VALHALLA DR |
| City | WHARTON |
| State | TX |
| Zip | 77488-9218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette A Long | Nurse Practitioner | El Campo Memorial Hospital | 10358 Us Hwy 59 A, Wharton Walk In Clinic, Wharton, TX 77488 |
| Billy Winkles | Chiropractic | 806 N Fulton, Wharton, TX 77488 | |
| Priscilla J Metcalf | Ophthalmology | 10119 Hwy 59 S, Suite 4, Wharton, TX 77488 | |
| Hetal S Patel | Nurse Practitioner | El Campo Memorial Hospital | 10358 Us Hwy 59 A, Wharton Walk In Clinic, Wharton, TX 77488 |
| Keith Joseph Ermis | Optometry | Berkeley Eye Institute, P.a. | 1120 N Fulton St, Wharton, TX 77488-3128 |
| Mary Ann Rath | Clinical Social Worker | 1114 N Fulton, Wharton, TX 77488-3128 | |
| Honorine F Mufuwah | Nurse Practitioner | Capital Infectious Disease Associates | 416 N Alabama Rd, Wharton, TX 77488-4210 |
| Wang Li | Hospitalist | Capital Internal Medicine Associates | 416 N Alabama Rd, Wharton, TX 77488-4210 |
| Charles W Mcgee | Nurse Practitioner | Capital Advanced Wound Care Pllc | 416 N Alabama Rd, Wharton, TX 77488-4210 |
| Jhoanne C Elevazo | Nurse Practitioner | Capital Internal Medicine Associates | 416 N Alabama Rd, Wharton, TX 77488-4210 |
| Find all physicians in zip 77488 | |||
| City | WHARTON |
| Zip Code | 77488 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WHARTON + FAMILY MEDICINE |
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| 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.