Physician Compare National (NPI:1114173440)

HEALTHCARE PROVIDER: QUOC ANH NGUYEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114173440
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981771656
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200729002411
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NGUYEN
	Individual professional last name
Provider First Name	QUOC ANH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PATIENT FIRST MARYLAND MEDICAL GROUP PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4385538735
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	200
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10755 FALLS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 160
	Group Practice or individual's line 2 address
City	LUTHERVILLE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	210934588
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4105832777
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420071
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SELF REGIONAL HEALTHCARE
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y