Physician Compare National (NPI:1861594459)

HEALTHCARE PROVIDER: BILL NHUNG Q VUONG DPM

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

Individual Professional Information
NPI	1861594459
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941324156
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100825000227
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VUONG
	Individual professional last name
Provider First Name	BILL
	Individual professional first name
Provider Middle Name	NHUNG Q
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	260 16TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 116
	Group Practice or individual's line 2 address
City	DAYTON
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373211072
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4237755400
	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	441310
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RHEA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y