Active NPI
Namphuong Hoang Pham
- Specialist
- Mountain View, AR
National Provider Identifier
1154635472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTA 2438
- Practice address
- 1005 Maple Dr
Mountain View, AR 72560-8999 - Phone
- (870) 269-2110
- NPI assigned
- Jul 28, 2010
- Last updated
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTA 2438 | AR | Primary |
Addresses
Primary practice location
1005 Maple Dr
Mountain View, AR 72560-8999
Mailing address
12262 Tams Dr
Baton Rouge, LA 70815-2655
Phone (225) 272-3637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 2438 | AR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1154635472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12262 TAMS DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708152655",
"telephone_number": "225-272-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MAPLE DR",
"city": "MOUNTAIN VIEW",
"state": "AR",
"postal_code": "725608999",
"telephone_number": "870-269-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "NAMPHUONG",
"middle_name": "HOANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "PTA 2438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.