THANH M NGUYEN (NPI# 1831296656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831296656 |
| Entity Type | Individual |
| Full Name | THANH M NGUYEN |
| Credential | MD |
| Practice Address |
12086 Fort Caroline Rd Ste 401 Jacksonville FL 32225-2687 |
| Mailing Address |
Po Box 3123 St Augustine FL 32085-3123 |
| Practice Telephone | 9045651271 |
| Mailing Telephone | 9048244990 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME101652 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME101652 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000031000 | 05 | |
| FL | BCBS / FLORIDA BLUE | 41503 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797994 | Thanh Thien Nguyen | Dentist | 17460 I-35 N, Suite 440, Schertz, TX 78154-7815 | 2020-07-14 |
| 1366091662 | Thanh V Nguyen | Registered Nurse | 3098 County Route 47 Apt 3, Norwood, NY 13668-3256 | 2019-09-09 |
| 1477022655 | Thanh Nguyen | Dentist | 9520 Warner Ave Ste B, Fountain Valley, CA 92708-2857 | 2018-11-17 |
| 1205302262 | Thanh Nguyen | Pharmacist | 708 E. Morris St, La Conner, WA 98257 | 2018-10-17 |
| 1518331487 | Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 1115 S 11th St, 2nd Floor, Philadelphia, PA 19147-4600 | 2015-11-16 |
| 1912375221 | Thanh Thi Nguyen | Pharmacist | 275 N El Cielo Rd # C322, Palm Springs, CA 92262-6972 | 2015-09-03 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1396150587 | Thanh Nguyen | Optometrist | 6036 Park Blvd N, Pinellas Park, FL 33781-3228 | 2014-06-25 |
| 1972924710 | Thanh Nguyen | Pharmacist | 115 Chartres Ct, La Place, LA 70068-6491 | 2013-12-20 |
| 1477897452 | Thanh H Nguyen | Nurse Practitioner | 22784 Canyon View Dr, Corona, CA 92883-9104 | 2012-11-15 |
| Street Address |
12086 FORT CAROLINE RD STE 401 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184602583 | Kia Michon Mitchell | Family Medicine | 12086 Fort Caroline Rd, Ste 401, Jacksonville, FL 32225-2687 | 2006-01-05 |
| 1104378777 | Stephanie Megumi Lamm | Physician Assistant | 12086 Fort Caroline Rd, 401, Jacksonville, FL 32225-2687 | 2016-10-31 |
| 1730584673 | Megan Finck | Physician Assistant | 12086 Fort Caroline Rd, Suite #401, Jacksonville, FL 32225-2687 | 2014-11-04 |
| 1508110602 | Paul Schloth | Dentist | 12086 Fort Caroline Rd, Suite 105, Jacksonville, FL 32225-2687 | 2012-10-29 |
| 1356693881 | William Dewey Lee IIi | Physician Assistant | 12086 Fort Caroline Rd, Ste # 401, Jacksonville, FL 32225-2687 | 2012-10-08 |
| 1407101033 | Irivelisse Stevens Porter | Dentist | 12086 Fort Caroline Rd, Suite 105, Jacksonville, FL 32225-2687 | 2012-07-19 |
| 1962704866 | Ft Caroline Chiropractic Clinic | Chiropractor | 12086 Fort Caroline Rd, Suite 302, Jacksonville, FL 32225-2687 | 2010-11-29 |
| 1518275254 | Kaitlin Ray | Nurse Practitioner | 12086 Fort Caroline Rd, 401, Jacksonville, FL 32225-2687 | 2010-09-15 |
| 1467778761 | Blake Moser | Chiropractor | 12086 Fort Caroline Rd, Suite 302, Jacksonville, FL 32225-2687 | 2010-04-12 |
| 1710162433 | Atlas Chiropractic Clinic Inc | Clinic/Center | 12086 Fort Caroline Rd, Unit 504, Jacksonville, FL 32225-2687 | 2007-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 |
|---|---|---|---|---|
| 1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
| 1336780907 | Sunshine Medical Specialists, LLC | Pediatrics | 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 | 2019-10-03 |
| 1114458916 | Jacksonville Pediatric Endocrinology Clinic Pllc | Pediatrics | 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 | 2017-03-23 |
| 1043674864 | Lurah Elizabeth Welch | Pediatrics | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-04-07 |
| 1750679973 | Reham Hasan | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2011-07-21 |
| 1205070935 | Lydia L Snyder | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2009-04-24 |
| 1447315734 | Dominique Darmaun | Pediatrics | 807 Childrens Way, Nemours Children's Clinic, Research 5north, Jacksonville, FL 32207-8426 | 2006-12-27 |
| 1467530626 | Nelly Mauras | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-11-02 |
| 1992811822 | Jose Atilio Canas | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-22 |
| 1548375520 | Priscila C Gagliardi | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
Please comment or provide details below to improve the information on THANH M 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.