Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700833134 Deactivated / Inactive NPI Male Practitioner

Dr. Khoa C Nguyen , MD

General Practice • Ashdown, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Khoa Nguyen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2006
NPI Deactivation Date May 29, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Khoa Nguyen, MD was a registered General Practice practicing in Ashdown, AR. Throughout an active medical career spanning 13 years, Dr. Nguyen provided care at the practice location at 1340 S CONSTITUTION AVE until profile deactivation on 2019-05-29.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1340 S Constitution Ave

Ashdown, AR 71822

Telephone 8708982007
Fax 8708982575
Associated Practice Facility / Clinic
🏢 Khoa Cao Nguyen Md Pa Facility NPI 1437440716

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ashdown, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Ashdown, AR (111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 13 $135.00 $101.67

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AR C5496

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Brittny Mills , AGPCNP-C

Nurse Practitioner

NPI 1407333784

AGPCNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 29, 2019

Record deactivated on May 29, 2019

NPI Profile Active January 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 04, 2011

Registered at 1340 S CONSTITUTION AVE, ASHDOWN, AR 71822 (Tel: 8708982007)

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Updated Business Mailing Address January 04, 2011

Registered at PO BOX 316, ASHDOWN, AR 71822 (Tel: 8708982007)

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Provider Name / Credentials Updated January 04, 2011

Recorded as KHOA NGUYEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2011

General Practice (License #C5496 in AR)

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Initial NPI Registration & Enumeration May 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700833134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2006
Last Update: January 04, 2011
Deactivation Date: May 29, 2019

Mailing Address

Po Box 316

Ashdown, AR 71822

Phone: 8708982007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.