BAO QUANG PHAM (NPI# 1356752984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356752984 |
| Entity Type | Individual |
| Full Name | BAO QUANG PHAM |
| Credential | D.O. |
| Practice Address |
12221 N Mopac Expy Austin TX 78758 |
| Mailing Address |
11509 Eric Heiden Ct Austin TX 78748-2019 |
| Practice Telephone | 3147242766 |
| Mailing Telephone | 3147242766 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R5625 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 34.012393 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29000 Center Ridge Rd, Westlake, OH 441455293 | 3147242766 | |
| 4141 S Staples St Ste 101, Corpus Christi, TX 78411 | 3147242766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831454438 | Bao Pham | Optometrist | 2915 N Broadway, Chicago, IL 60657 | 2012-07-10 |
| 1780706226 | Bao Pham | Dentist | 10115 Sw Nimbus Ave, Suite 350, Tigard, OR 97223-4349 | 2007-04-04 |
| 1417098500 | Bao Thang Pham | Family Medicine | 12545 Briar Forest Dr Ste A, Houston, TX 77077-2900 | 2007-02-09 |
| 1467445403 | Bao Tien Pham | Physical Medicine & Rehabilitation | 6816 Southpoint Pkwy, Suite 302, Jacksonville, FL 32216-1700 | 2005-08-24 |
| 1568908226 | Bao Pham | Pharmacist | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2017-01-18 |
| 1447615836 | Bao Pham | Pharmacist | 3749 Avocado Blvd, La Mesa, CA 91941-7301 | 2015-12-29 |
| 1497134696 | Bao Q Pham | Family Medicine | 3 E Appleby Rd, Suite 301, Fayetteville, AR 72703 | 2015-05-21 |
| 1780061358 | Bao Pham | Family Medicine | 1100 Ward Ave Ste 700, Honolulu, HI 96814 | 2015-05-02 |
| 1770819401 | Bao H Pham | Pharmacist | 4121 Harwood Rd, Bedford, TX 76021-4021 | 2009-10-31 |
| Street Address |
12221 N MOPAC EXPY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238534 | Malik M Merchant | Internal Medicine | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2005-07-11 |
| 1477151413 | Jessica C. Heim | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-10-13 |
| 1639786387 | Renee Yvonne Vilaire | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-09-28 |
| 1376150052 | Kimberly Marie Labinsky | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-09-28 |
| 1912515123 | Renee Hyder | Nurse Practitioner | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-07-14 |
| 1255963468 | Melanie Marie Vague | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2020-02-05 |
| 1730728684 | Sally Anne Jung | Registered Nurse | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2019-12-24 |
| 1831735505 | Sadie Christine Laddusaw | Anesthesiologist Assistant | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2019-11-18 |
| 1003386285 | Lauren Van Orden | Speech-Language Pathologist | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2018-11-29 |
| 1114406246 | Sarah Mcbride | Clinical Nurse Specialist | 12221 N Mopac Expy, Austin, TX 78758 | 2018-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1942864590 | Mitchell Warren | Emergency Medicine | The University of Texas At Austin Dell Medical School, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2019-04-30 |
| 1871056820 | Erin Lincoln | Emergency Medicine | Ut Austin Dell Med School Em Residency Program, 1400 N I-35, Suite 2.230, Austin, TX 78701 | 2019-04-08 |
| 1194213686 | William Aufricht | Emergency Medicine | University of Texas At Austin Dell Medical School, 1400 N. I-35 Suite 2.230, Austin, TX 78701 | 2018-04-30 |
| 1609383660 | Amelia Southwest Health | Emergency Medicine | 5903 Long Ct, Austin, TX 78730-4920 | 2017-12-29 |
| 1669908471 | Tea Jonsson | Emergency Medicine | 6836 Bee Caves Rd Ste 112, Austin, TX 78746-5059 | 2017-05-11 |
| 1851754642 | John Donahoe | Emergency Medicine | 7202 Crandower Ct, Austin, TX 78741-6662 | 2016-03-30 |
| 1972977833 | Remedy Urgent Care Pllc | Emergency Medicine | 5901 Vega Aveneu, Suite 100, Austin, TX 78735 | 2015-11-16 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| Find all providers in AUSTIN | ||||
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| 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.