Pham Internal Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101244284 Issued in VA

Legal business name

PHAM INTERNAL MEDICINE

Practice address

6408 Seven Corners PL Ste F
Falls Church, VA 22044-2011

Phone

(703) 533-7673

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nick Pham, M.D.NPI 1801082508

Title

President

Phone

(703) 533-7673

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nick M Pham, M.D.

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1801082508

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1134480726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2782",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220310782",
            "telephone_number": "703-533-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 SEVEN CORNERS PL STE F",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442011",
            "telephone_number": "703-533-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-533-7673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101244284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801082508",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Eleanor Pfeiffer, RN, IBCLC
• Stephanie Pflieger
• Pfundstein Hospitalist and Consultative Services, P.C.
• Nathalie Phaeton, D.D.S.
• Pham Huu Minh DDS PC
• Christine Pham
• Dan Pham, MD
• Duy Quang Pham, MD
• Kimuyen Mai Pham
• Long Dang Pham, DDS

• Primary Care Clinic/Center in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.