Thuylinh Ho Pham MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-1751 Issued in AR

Legal business name

THUYLINH HO PHAM MD PLLC

Practice address

623 S 21St St
Fort Smith, AR 72901-3914

Phone

(479) 441-1500

Fax

(479) 441-1502

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Thuylinh Ho Pham, M.D.NPI 1356396790

Title

Physician

Phone

(479) 441-1500

Specialties & licenses 1

Addresses

Other names 1

• Southside Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Southside Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southside Medical Clinic

  • Internal Medicine Physician
  • Fort Smith, AR
  • NPI 1194937235
  NPD tax ID

Locations

Practitioners 3

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

• Thuylinh Pham, M.D.

  • Internal Medicine Physician
  • Fort Smith, AR
  • NPI 1356396790
  Medicare reassignment NPD Authorized official
• Hassan M Masri, M.D.

  • Gastroenterology Physician
  • Fort Smith, AR
  • NPI 1295792927
  NPD (past)
• Anne L Murphy, D.O.

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1386623049
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1205248259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013914",
            "telephone_number": "479-441-1500",
            "fax_number": "479-441-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013914",
            "telephone_number": "479-441-1500",
            "fax_number": "479-441-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUYLINH HO PHAM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THUYLINH",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-441-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-1751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Thrailkill
• Karen Elaine Thrift, ANP
• Thrive Neurohealth, LLC.
• Daniel Thurman, CRNA
• Jamia Lee Thursby, COTA/L
• Britney Tibbs, QBHP
• Hillaree Tiffee, OTR/L
• Richard Eugene Timmons-Vendryes, MD
• Zachary Tippin, M.D.
• April D Tipton, MHPP

• Internal Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.