NPI Details
DR. Jacky Thuvan Duong, DO is an internal medicine in Flint, MI with 25 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Jacky Thuvan Duong, DO NPI is 1780693671. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2001
The provider's business location address is:
420 S SAGINAW ST
FLINT, MI
ZIP 48502-803
Phone: (810) 232-3522
Fax: (810) 762-4494
The NPI 1780693671 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 8/7/2006 and was last updated on 8/21/2013.
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 | 207R00000X | Internal Medicine | | 5101014969 | MICHIGAN | 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 | 700H248710 | OTHER | MICHIGAN | BLUE CROSS GROUP NUMBER |
| 2 | 0M69920015 | MEDICARE ID-TYPE UNSPECIFIED | MICHIGAN | |
| 3 | 700B512440 | OTHER | MICHIGAN | BCBS GROUP |
| 4 | 114632687 | MEDICAID | MICHIGAN | |
| 5 | 114632050 | MEDICAID | MICHIGAN | |
| 6 | N69170125 | MEDICARE PIN | MICHIGAN | |
| 7 | 114632696 | MEDICAID | MICHIGAN | |
| 8 | 114632060 | MEDICAID | MICHIGAN | |
| 9 | I15119 | MEDICARE UPIN | MICHIGAN | |
| 10 | 114632041 | MEDICAID | MICHIGAN | |
| 11 | ON69170 | OTHER | MICHIGAN | MEDICARE GROUP |
