PHUNG KIM PHAM


Address: 4400 University Dr, Fairfax, VA 22030-4422
Phone: 7039931000

PHUNG KIM PHAM (NPI# 1093352007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093352007
Entity Type Individual
Full Name PHUNG KIM PHAM
Practice Address 4400 University Dr
Fairfax
VA 22030-4422
Mailing Address 4400 University Dr
Fairfax
VA 22030-4444
Practice Telephone 7039931000
Enumeration Date 2019-12-09
Last Update Date 2019-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers PHUNG PHAM

NPI Name Taxonomy Address Enumeration
1609196989 Phung Pham Anesthesiology 130 S University Dr Ste D, Plantation, FL 33324-3347 2010-06-09
1609436138 Phung Kim Pham Nurse Practitioner 13480 Veterans Memorial Dr, Houston, TX 77014-1696 2019-06-17
1487870457 Phung Kim Pham Dentist 1727 N Fresno St, Fresno, CA 93703-3031 2007-04-18
1265588586 Phung Kim Pham Dentist 4700 42nd Ave Sw, Suite 460, Seattle, WA 98116-4591 2007-01-27

Office Location

Street Address 4400 UNIVERSITY DR
City FAIRFAX
State VA
Zip Code 22030-4422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245210079 Mary E. Davis Nurse Practitioner 4400 University Dr, Ms 2d3, Fairfax, VA 22030-4422 2006-01-18
1326685207 Yusufu Kamara Student in an Organized Health Care Education/Training Program 4400 University Dr, Fairfax, VA 22030-4422 2019-12-10
1861039752 Kathy Nguyen Student in an Organized Health Care Education/Training Program 4400 University Dr, Fairfax, VA 22030-4422 2019-12-10
1083251169 Hailey Arnold Student in an Organized Health Care Education/Training Program 4400 University Dr, Fairfax, VA 22030-4444 2019-12-08
1376180471 Latoya Marie Lashley Specialist/Technologist 4400 University Dr, Fairfax, VA 22030-4422 2019-12-08
1609413715 Claudia Talton Specialist/Technologist 4400 University Dr, Fairfax, VA 22030-4422 2019-12-08
1063059152 Ali Ahmad Specialist/Technologist 4400 University Dr, Fairfax, VA 22030-4422 2019-12-08
1386281467 Archana Bai Reddy Student in an Organized Health Care Education/Training Program 4400 University Dr, Fairfax, VA 22030-4422 2019-12-07
1861039331 Janet Rae Stein Student in an Organized Health Care Education/Training Program 4400 University Dr, Fairfax, VA 22030-4422 2019-12-04
1417594821 Vivian Duong Student in an Organized Health Care Education/Training Program 4400 University Dr, Fairfax, VA 22030-4422 2019-12-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134752611 Jennifer Cooke Specialist/Technologist 4707 Olley Ln, Fairfax, VA 22032-2133 2020-02-12
1891326963 Alexis Haden Specialist/Technologist 12217 Pender Creek Cir Apt A, Fairfax, VA 22033-3921 2020-01-28
1356988992 Alyx Bridis Specialist/Technologist 4450 Rivanna River Way, Fairfax, VA 22030-4441 2019-12-03
1316580731 Sarah Mard Specialist/Technologist 3306 Edenvale Rd, Fairfax, VA 22031-2714 2019-10-18
1063075588 Nicole Marie Berube Specialist/Technologist 3511 Broadrun Dr, Fairfax, VA 22033-2164 2019-04-19
1275018806 Ethan Grant Specialist/Technologist 11960 Artery Dr, Fairfax, VA 22030-6711 2018-09-29
1588161251 Rachael Renee Watkins Specialist/Technologist 10131 Dwight Ave, Fairfax, VA 22032-1035 2018-04-10
1982134250 Dena Vandagriff Specialist/Technologist 4280 Mazarin Pl Apt 206, Fairfax, VA 22033-5790 2017-06-19
1821538117 Kelly Fickes Specialist/Technologist 4231 Monument Wall Way, Apt 453, Fairfax, VA 22030-8433 2017-03-06
1427592690 Samantha Raso Specialist/Technologist 3332 Lauriston Pl, Fairfax, VA 22031-4800 2016-12-07
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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