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Active NPI 1003356684 Individual Practitioner Male Practitioner

Dr. Don Vongviphut , DO

General Practice • Hurlburt Field, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Don Vongviphut, DO is a certified General Practice practicing in Hurlburt Field, FL. With approximately 9 years of clinical experience since graduating from Rowan University School Of Osteopathic Medicine in 2017, Dr. Vongviphut delivers high-quality medical care to the local community at 113 LIELMANIS AVE.

Dr. Vongviphut is affiliated with Cep America Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

113 Lielmanis Ave

Hurlburt Field, FL 325445613

Telephone 8508811020
Associated Practice Facility / Clinic
🏢 1st Spcl Ops Medgrp-Hurlburt Facility NPI 1568442630

Medicare Profile & Education

Medical School

Rowan University School Of Osteopathic Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hurlburt Field, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Hurlburt Field, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vongviphut (9 Years) 9 Yrs
Hurlburt Field Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-03
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 02005485A

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

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL OS22616

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Indiana State Medical License
02005485A (IN)

Hospital & Practice Group Affiliations

Cep America Llc

3801 E Hwy 98, Port St Joe, FL 324565318

Phone: 8502295600

Practice Associates & Co-Workers

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

21 Associated Practitioners
Rebecca Dalton , LCSW

Social Worker - Clinical

NPI 1053665554

Licensed Clinical Social Worker

Sheri Roberts , PA

Physician Assistant

NPI 1073886909

Physician Assistant

Tyrus Colbert

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1093558397
Dr. Matthew Edgar , DO

Emergency Medicine

NPI 1104356880

Doctor of Osteopathic Medicine (D.O.)

Franklin Cordon

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1114736055
NPI 1134778244

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Emergency Medicine (License #OS22616 in FL)

📍
Updated Practice Location August 01, 2025

Registered at 113 LIELMANIS AVE, HURLBURT FIELD, FL 325445613 (Tel: 8508811020)

📍
Updated Business Mailing Address August 01, 2025

Registered at 235 NAUTICA WAY, DESTIN, FL 325412565 (Tel: 6507145919)

📍
Updated Practice Location March 29, 2019

Registered at 3458 NEELY RD, FLIGHT MEDICINE CLINIC, JOINT BASE MCGUIRE-DIX-LAKEHURST, NJ 08641 (Tel: 6097549080)

👤
Provider Name / Credentials Updated March 29, 2019

Recorded as DON VONGVIPHUT, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2019

General Practice (License #02005485A in IN)

NPI Profile Active March 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2017

Registered at 128 E APPLE ST, WCHE 7TH FLOOR, DAYTON, OH 454092902 (Tel: 9372084953)

📍
Updated Business Mailing Address March 02, 2017

Registered at 5109 BINDEWALD RD, TORRANCE, CA 905054312 (Tel: 6507145919)

👤
Provider Name / Credentials Updated March 02, 2017

Recorded as DON VONGVIPHUT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 02, 2017

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: 1003356684
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2017
Last Update: September 03, 2025
Sole Proprietor: No

Mailing Address

235 Nautica Way

Destin, FL 325412565

Phone: 6507145919

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.