Mai Lien Pham, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5025 Issued in OK

Practice address

701 Hospital Loop
Fairchild Air Force Base, WA 99011-8704

Phone

(509) 247-5755

NPI assigned

Feb 25, 2009

Last updated

Mar 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1053551499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HOSPITAL LOOP",
            "city": "FAIRCHILD AIR FORCE BASE",
            "state": "WA",
            "postal_code": "990118704",
            "telephone_number": "509-247-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HOSPITAL LOOP",
            "city": "FAIRCHILD AIR FORCE BASE",
            "state": "WA",
            "postal_code": "990118704",
            "telephone_number": "509-247-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MAI",
        "middle_name": "LIEN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "5025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Rae Little Jr., LICSW
• Danielle Maronick, LICSW
• Holly Meginniss, MSW
• Sayf R Munir, M.D.
• Joshua Karstan Pattee, I.D.M.T
• Nicole Powell, PT, DPT
• Victoria F Querido, IDMT
• Thomas Jerrod Ricketson, IDMT
• Lindy Lee Tinker, DO
• Stacey Touhy, PSY.D.

• Internal Medicine Physician in Fairchild Air Force Base, WA
• Providers in Fairchild Air Force Base, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.