TRINH CONG PHAM (NPI# 1700814944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700814944 |
| Entity Type | Individual |
| Full Name | TRINH CONG PHAM |
| Credential | D.O. |
| Practice Address |
515 Fairmount Ave Suite 350 Towson MD 21286-5466 |
| Mailing Address |
515 Fairmount Ave # 350 Towson MD 21286-5466 |
| Practice Telephone | 4104941340 |
| Practice Fax Number | 4104941240 |
| Mailing Telephone | 4104941355 |
| Mailing Fax Number | 4104941361 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
H59518 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902466501 | Trinh Pham | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-06-17 |
| 1710331962 | Trinh Thiyen Pham | Internal Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2016-04-13 |
| 1023359247 | Trinh L. Pham | Nurse Practitioner | 1850 Lakepointe Dr, #400, Lewisville, TX 75057-6442 | 2013-03-13 |
| 1902182280 | Trinh Pham | Pharmacist | 408 E Michigan St, Orlando, FL 32806-4542 | 2011-10-31 |
| 1487886594 | Trinh T Pham | Dentist | 2156 E Lincoln Ave, Anaheim, CA 92806-4104 | 2009-08-24 |
| 1871712299 | Trinh Thuy Pham | Optometrist | 1450 Ala Moana Blvd, Ste 3265, Honolulu, HI 96814-4623 | 2007-04-24 |
| 1548390701 | Trinh Pham | Dentist | 10431 Lemon Ave, Suite K, Alta Loma, CA 91737-3700 | 2007-03-06 |
| 1235268582 | Trinh Thu Pham | Dentist | 3501 Shepherd Ln, Balch Springs, TX 75180-2325 | 2007-03-04 |
| Street Address |
515 FAIRMOUNT AVE SUITE 350 |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-5466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910454 | David S. Berliner | Internal Medicine | 515 Fairmount Ave, Ste 400, Towson, MD 21286-5466 | 2005-05-31 |
| 1598253403 | Courtney Alyse Mcguire | Occupational Therapy Assistant | 515 Fairmount Ave, Towson, MD 21286-5466 | 2018-04-25 |
| 1699280511 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286 | 2017-12-14 |
| 1497296271 | Candice Korolevich | Nurse Practitioner | 515 Fairmount Ave, Towson, MD 21286 | 2017-03-14 |
| 1124572763 | Gps Physician Group of Texas Pllc | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2016-08-11 |
| 1659737898 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2016-01-04 |
| 1184095267 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2015-10-14 |
| 1104297852 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2015-10-07 |
| 1982074001 | Clinical Associates P A | Clinic/Center | 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 | 2015-10-01 |
| 1417344284 | Genesis Staffing Services, LLC | Community/Behavioral Health | 515 Fairmount Ave, 8th Floor, Towson, MD 21286-5466 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144265414 | Julia Cecilia Santoso Pham | Dermatology | 515 Fairmount Ave, Suite 350, Towson, MD 21286-5466 | 2006-06-19 |
| 1932164100 | Liza Waichun Chang | Dermatology | 7600 Osler Dr, Suite 407, Towson, MD 21204-7735 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267936 | Beckley Dermatology Inc. | Dermatology | 1110 Professional Ct Ste 201, Hagerstown, MD 21740-5945 | 2018-12-31 |
| 1518480136 | Forefront Dermatology, S.c. | Dermatology | 8134 Old Georgetown Rd, Bethesda, MD 20814 | 2017-07-25 |
| 1407014913 | Zaineb H Makhzoumi | Dermatology | 419 West Redwood Street, Suite 260, Baltimore, MD 21201 | 2008-05-30 |
| 1003002163 | Charles County Surgical Associates, LLC | Dermatology | 4225 Altamont Pl Unit 3, White Plains, MD 20695-3063 | 2007-09-21 |
| 1164458873 | Eric Finzi | Dermatology | 7701 Greenbelt Rd, 504, Greenbelt, MD 20770-2037 | 2006-06-24 |
| 1982670980 | Andrew Denis Montemarano | Dermatology | 6410 Rockledge Drive, Suite 300, Bethesda, MD 20817-7811 | 2006-02-28 |
| 1720059736 | David S Mezebish | Dermatology | 9711 Medical Center Dr Ste 307, Rockville, MD 20850-3385 | 2006-01-28 |
| 1942282371 | Michael Rebert Warner | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2005-11-21 |
| 1659900850 | Cronin Dermatology and Skin Cancer | Dermatology | 5530 Wisconsin Ave Ste 1418, Chevy Chase, MD 20815-4302 | 2020-04-08 |
| 1821582917 | Charles B Toner Md Pa | Dermatology | 9131 Piscataway Rd Ste 550, Clinton, MD 20735 | 2018-06-21 |
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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.