DAT M NGUYEN PA-C NPI 1588294441

NPI Information

NPI: 1588294441
Provider Name: DAT M NGUYEN, PA-C
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
1315 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-8765
Get Directions

Dat M Nguyen, PA-C is a vascular surgery surgery in Gainesville, GA with 5 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Dat M Nguyen, PA-C NPI is 1588294441. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1315 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA
ZIP 30501-811
Phone: (770) 219-8765

The NPI 1588294441 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2020 and was last updated on 8/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		9632	GEORGIA	No
2	2086S0129X	Surgery	Vascular Surgery	9632	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA14510	OTHER	TEXAS	TEXAS MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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