MR. HA LE PHAM (NPI# 1366777575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366777575 |
Entity Type | Individual |
Full Name | MR. HA LE PHAM |
Credential | PA-C |
Practice Address |
5056 N Central Ave Phoenix AZ 85012-1521 |
Practice Telephone | 6022229111 |
Practice Fax Number | 6022229333 |
Mailing Telephone | 6022229111 |
Mailing Fax Number | 6022229333 |
Enumeration Date | 2009-10-05 |
Last Update Date | 2016-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 4442 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AETNA | 9821394 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730717299 | Ha Hong Pham | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-03-31 |
1588042634 | Ha T. Pham | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-1240 | 2015-05-09 |
1679610190 | Ha Terry Pham | Dentist | 5501 Stockton Blvd, Sacramento, CA 95820-5414 | 2007-01-31 |
Street Address |
5056 N CENTRAL AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85012-1521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386648350 | Gerald Arthur Rosenblum | Dermatology | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2005-06-08 |
1346762325 | Matthew Lamca | Physician Assistant | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2017-07-12 |
1134678634 | Megan E Ahmed | Nurse Practitioner | 5056 N Central Ave, Phoenix, AZ 85012 | 2016-09-25 |
1861843765 | Ramona Kiani | Nurse Practitioner | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2016-06-22 |
1952793408 | Nichelle Madden | Dermatology | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2015-02-20 |
1912280918 | Elizabeth Walter | Physician Assistant | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2011-09-26 |
1609078997 | Phoenix Skin II PC | Dermatology | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2007-05-31 |
1265573810 | Katherine Azar Haworth | Physician Assistant | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2007-02-08 |
1972644532 | Tana Frumento | Physician Assistant | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2007-02-08 |
1265426910 | John Stathakis | Dermatology | 5056 N Central Ave, Phoenix, AZ 85012-1521 | 2005-09-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
Find all providers in zip 85012 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
Find all providers in PHOENIX |
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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.