HAU TRONG PHAM (NPI# 1558322024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558322024 |
| Entity Type | Individual |
| Full Name | HAU TRONG PHAM |
| Credential | DPM |
| Practice Address |
732 Harrison Ave Preston 5th Floor Boston MA 02118-2309 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6174146840 |
| Practice Fax Number | 6174146710 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2079 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110013009A | 05 | |
| MA | MEDICARE ID | 000540601 | 01 |
| Street Address |
732 HARRISON AVE PRESTON 5TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146810 | Hans K Meier-ewert | Internal Medicine | 732 Harrison Ave, Preston Building - 3rd Floor, Boston, MA 02118-2309 | 2005-06-30 |
| 1972144236 | Christina Ann Guerriero | Physician Assistant | 732 Harrison Ave, Preston 2nd Fl, Boston, MA 02118 | 2019-10-07 |
| 1861045478 | Kristen Fein | Nurse Practitioner | 732 Harrison Ave, 3rd Floor, Boston, MA 02118 | 2019-07-23 |
| 1730732314 | Oluwakemi Olotu | Family Medicine | 732 Harrison Ave, Fl 3, Boston, MA 02118 | 2019-07-22 |
| 1174082143 | Ashley Dinah Daniel | Student in an Organized Health Care Education/Training Program | 732 Harrison Ave, Boston, MA 02118-2309 | 2019-03-18 |
| 1023522497 | Tram T Tran | Nurse Practitioner | 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 | 2017-11-21 |
| 1083127658 | Lorely Torres | Nurse Practitioner | 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 | 2017-11-06 |
| 1093246951 | Heidi Michelle Fuller | Student in an Organized Health Care Education/Training Program | 732 Harrison Ave, Podiatry Clinic 5th Floor, Boston, MA 02118-2309 | 2017-03-22 |
| 1407306731 | Colin Flynn | Physician Assistant | 732 Harrison Ave, Preston, 3rd Floor, Boston, MA 02118-2309 | 2016-10-11 |
| 1639627649 | Jessica Nicole Fernandes | Physician Assistant | 732 Harrison Ave, Preston, 3rd Floor, Boston, MA 02118-2309 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306138086 | Daphne Robert | Podiatrist | 732 Harrison Ave Bldg 5th, Boston, MA 02118-2309 | 2011-05-12 |
| 1285666222 | Millard Thomas Hennessee | Podiatrist | 654 E Broadway, Boston, MA 02127-1502 | 2006-07-07 |
| 1487644936 | Carol A Divaio | Podiatrist | 55 Fruit St Yaw 3056, Podiatry Group, Boston, MA 02114-2696 | 2005-10-26 |
| 1285623694 | David E. Negron | Podiatrist | 732 Harrison Avenue, Preston 5th Floor, Boston, MA 02118 | 2005-10-18 |
| 1356339949 | Judy Beth Hurwitz | Podiatrist | 66 Charles St, #528, Boston, MA 02114-4604 | 2005-10-08 |
| 1558353714 | David Agoada | Podiatrist | 133 Brookline Ave., Hvma, Boston, MA 02215 | 2005-08-15 |
| 1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
| 1538791892 | Seniorwell Pod of Massachusetts LLC | Podiatrist | 75 Arlington St Ste 500, Boston, MA 02116-3936 | 2020-02-05 |
| 1023672979 | Lowell Tong | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2019-04-25 |
| 1689026023 | Gurneet Khangura | Podiatrist | 55 Fruit St, Yawkey 3f, Boston, MA 02114-2621 | 2016-07-11 |
| Find all providers in BOSTON | ||||
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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.