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SOPHEAK NGUON MD
NPI 1932884301
Student in an Organized Health Care Education/Training Program in Essexville, MI

Active since June 21, 2023PECOS Enrolled
1458 W CENTER RD STE 1, ESSEXVILLE, MI 48732(989) 895-4625(989) 895-4696 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sopheak Nguon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHEAK NGUON MD (NPI 1932884301) is an individual student in an organized health care education/training program in Essexville, Michigan, licensed in Michigan (4351051887) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932884301
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOPHEAK NGUONCredential: MD
Location Address1458 W CENTER RD STE 1Essexville, MI 48732-2151
Mailing Address1458 W Center Rd Ste 1Essexville, MI 48732-2151 · (989) 895-4625 · Fax (989) 895-4696
Phone(989) 895-4625
Fax(989) 895-4696
Sole ProprietorNo
Enumeration DateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1932884301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351051887
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1458 W CENTER RD STE 1, Essexville, MI 48732
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sopheak Nguon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA MACHNIK
Student in an Organized Health Care Education/Training Program
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
CHELSEA BOYKOV
Student in an Organized Health Care Education/Training Program
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
SEAN MICHAEL WOTRING MD
Family Medicine
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
ERIN CAMPAU
Family Medicine
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
DR. ANDREA CHRISTINA ALMAGUER MD
Student in an Organized Health Care Education/Training Program
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
MELISSA KOHNER DO
Family Medicine
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
MICHAEL ALLEN JOHNSON
Student in an Organized Health Care Education/Training Program
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
KATIE ALIAGA
Student in an Organized Health Care Education/Training Program
1458 W CENTER RD STE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sopheak Nguon's NPI number?

The NPI number for Sopheak Nguon is 1932884301. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Sopheak Nguon located?

Sopheak Nguon practices at 1458 W Center Rd Ste 1, Essexville, MI 48732. The listed phone number is (989) 895-4625.

What is Sopheak Nguon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sopheak Nguon enrolled in Medicare?

Yes. Sopheak Nguon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sopheak Nguon was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.