MR. HA LE PHAM


Address: 5056 N Central Ave, Phoenix, AZ 85012-1521
Phone: 6022229111

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 4442 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ AETNA 9821394 01

Other Providers HA PHAM

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

Office Location

Street Address 5056 N CENTRAL AVE
City PHOENIX
State AZ
Zip Code 85012-1521

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85012

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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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