THONG DIEP PHAM (NPI# 1720376338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720376338 |
| Entity Type | Individual |
| Full Name | THONG DIEP PHAM |
| Credential | MD |
| Practice Address |
301 East Muhammad Ali Boulevard Louisville KY 40201 |
| Mailing Address |
P.o. Box 909 Louisville KY 40201 |
| Practice Telephone | 5028525466 |
| Mailing Telephone | 5025880328 |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 4301107533 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01080039A | IN | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
49356 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201384630 | 05 | |
| KY | 7100427880 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 S 7th St, Vincennes, IN 475911038 | 8128825220 | |
| 900 Hospital Dr, Madisonville, KY 424311644 | 2708255106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548670706 | Thong Pham | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2014-04-28 |
| 1538188057 | Thong Quoc Pham | Internal Medicine | 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106-4203 | 2006-07-18 |
| Street Address |
301 EAST MUHAMMAD ALI BOULEVARD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073874954 | Mark Armando Prendes | Ophthalmology | 301 East Muhammad Ali Boulevard, Louisville, KY 40202 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336434554 | Stephanie Anne Nitzken Weede | Anesthesiology | 530 South Jackson Street, Louisville, KY 40201 | 2011-06-15 |
| 1558459156 | William Clinton Graham | Specialist/Technologist | 100 East Libery Street, Louisville, KY 40201-1854 | 2006-10-10 |
| 1679910277 | Tyler Mccambridge | Anesthesiology | 231 E Chestnut St, Norton Children's Hospital, Louisville, KY 40201-7441 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528882 | Debora Rush | Technician | 1014 Ardmore Dr, Louisville, KY 40217-2304 | 2020-11-07 |
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1558962415 | Regenerative Medicine of Kentucky | Clinic/Center | 10900 Electron Dr Ste 101, Louisville, KY 40299-3824 | 2020-11-05 |
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1942801451 | Associates In Pediatric Therapy LLC | Physical Therapist | 4100 Springdale Rd, Louisville, KY 40241-1165 | 2020-11-03 |
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| Find all providers in LOUISVILLE | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1114372141 | Marwa Ali Mahgoub Elnazeir | Psychiatry & Neurology | 401 E Chestnut St Ste 500, Louisville, KY 40202-5700 | 2016-04-27 |
| 1427411537 | James Lamb | Psychiatry & Neurology | 500 S Preston St Dept Of, Hsc #113, Louisville, KY 40202-1702 | 2016-04-05 |
| 1194111807 | Murali Kolikonda | Psychiatry & Neurology | 500 S. Preston St., Rm. 113, Louisville, KY 40202 | 2015-04-09 |
| 1023317633 | Alicia Erin Bennett | Psychiatry & Neurology | 100 Health Park Drive, Louisville, CO 80027 | 2011-03-22 |
| 1477879815 | Victoria Holiday | Psychiatry & Neurology | 220 Abraham Flexner Way Ste 606, Louisville, KY 40202-3826 | 2010-04-09 |
| 1285871525 | Asad Ismail Psychytry Neurology Services, Psc | Psychiatry & Neurology | 10210 Springhurst Garden Circle, Louisville, KY 40241 | 2009-01-08 |
| 1164674891 | Jignesh Jagdish Shah | Psychiatry & Neurology | 401 East Chestnut Street, Ste #510, Msc 1063, Louisville, KY 40202-5710 | 2008-10-13 |
| 1285821876 | Brian Maxwell Plato | Psychiatry & Neurology | 3991 Dutchmans Ln Ste 200, Louisville, KY 40207-4723 | 2007-09-27 |
| 1386845378 | George W Scott II | Psychiatry & Neurology | 3900 Kresge Way Ste 56, Louisville, KY 40207-1144 | 2007-05-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40201 |
Please comment or provide details below to improve the information on THONG DIEP PHAM.
| 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.