RYAN PHAM (NPI# 1407173230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407173230 |
| Entity Type | Individual |
| Full Name | RYAN PHAM |
| Credential | D.O |
| Practice Address |
621 Sw Johnson Ave Suite C Burleson TX 76028-5833 |
| Mailing Address |
621 Sw Johnson Ave Burleson TX 76028-5833 |
| Practice Telephone | 8177667421 |
| Practice Fax Number | 8174478100 |
| Mailing Telephone | 8177667421 |
| Mailing Fax Number | 8174478100 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2017-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | P1128 | TX | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
P1128 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980829 | Ryan Pham | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2019-06-06 |
| 1245705086 | Ryan Duy Pham | Physician Assistant | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2018-10-08 |
| 1922375625 | Ryan Huy Pham | Pharmacist | 12001 Euclid St, Garden Grove, CA 92840-3332 | 2011-11-23 |
| 1578666806 | Ryan Ha Pham | Nuclear Medicine | 200 West Arbor Dr, Mail Code 8758, San Diego, CA 92103-8758 | 2006-09-05 |
| Street Address |
621 SW JOHNSON AVE SUITE C |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245554443 | Redemptive Soul Care--a Ministry of Redemption Evangelical Church | Community/Behavioral Health | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | 2010-03-17 |
| 1962878843 | Prestige Dermatology Pllc | Dermatology | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | 2015-08-14 |
| 1063820264 | G. Gregory Milini | Hearing Instrument Specialist | 621 Sw Johnson Ave, Ste A, Burleson, TX 76028-5833 | 2014-07-31 |
| 1215349311 | Donna Shemanne Nickerson | Social Worker | 621 Sw Johnson Ave, Burleson, TX 76028-5833 | 2014-05-22 |
| 1437561800 | Connect Hearing, Inc. | Audiologist | 621 Sw Johnson Ave, Ste A, Burleson, TX 76028-5833 | 2014-05-20 |
| 1154661874 | Leonia Stardehlia Golden | Counselor | 621 Sw Johnson Ave, Ste. C, Burleson, TX 76028-5833 | 2013-02-15 |
| 1316257314 | Stephanie Chan Nguyen | Physician Assistant | 621 Sw Johnson Ave, Ste C, Burleson, TX 76028-5834 | 2010-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457778474 | United Dermatology Associates of Burleson, Pllc | Dermatology | 780 Ne Alsbury Blvd, Suite B, Burleson, TX 76028-2641 | 2014-03-27 |
| 1962878843 | Prestige Dermatology Pllc | Dermatology | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | 2015-08-14 |
| 1972832731 | Dermatology Southwest | Dermatology | 12001 South Fwy, Ste. 205, Burleson, TX 76028-7208 | 2009-12-08 |
| 1700069267 | M. Basem Chaker, M.d. P.a. | Dermatology | 12001 South Fwy, Suite 205, Burleson, TX 76028-7208 | 2007-12-07 |
| 1417054719 | Mohammed Basem Chaker | Dermatology | 12001 South Fwy, Suite 205, Burleson, TX 76028-7208 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.