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Deactivated NPI 1043585979 Deactivated / Inactive NPI Male Practitioner

Dr. Diem Dang Nguyen , MD

General Practice • Shoreline, WA

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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. Diem Nguyen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 10, 2012
NPI Deactivation Date March 20, 2017
Total Practice Duration ~5 Years of Practice (2012 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Diem Nguyen, MD was a registered General Practice practicing in Shoreline, WA. Throughout an active medical career spanning 5 years, Dr. Nguyen provided care at the practice location at 2316 N 156TH PL until profile deactivation on 2017-03-20.

Practice Location & Contact Primary Location

Practice Address

2316 N 156th Pl

Shoreline, WA 981336018

Telephone 2063654035

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Shoreline, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Shoreline, WA (423 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

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA MD00016067

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

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 March 20, 2017

Record deactivated on March 20, 2017

NPI Profile Active March 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 10, 2012

Registered at 2316 N 156TH PL, SHORELINE, WA 981336018 (Tel: 2063654035)

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Updated Business Mailing Address March 10, 2012

Registered at 2316 N 156TH PL, SHORELINE, WA 981336018 (Tel: 2063654035)

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Provider Name / Credentials Updated March 10, 2012

Recorded as DIEM NGUYEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2012

General Practice (License #MD00016067 in WA)

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Initial NPI Registration & Enumeration March 10, 2012

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: 1043585979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2012
Last Update: March 10, 2012
Deactivation Date: March 20, 2017

Mailing Address

2316 N 156th Pl

Shoreline, WA 981336018

Phone: 2063654035

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.