Premier Provider Health PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M0223 Issued in TX

Legal business name

PREMIER PROVIDER HEALTH PA

Practice address

9301 N Central Expy Ste 340
Dallas, TX 75231-0804

Phone

(214) 466-2828

Fax

(214) 382-9798

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Han Ngoc Pham - Hulen

Title

MD PA

Phone

(214) 274-1507

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Han Pham Hulen MD PA

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1407304066

  O20070615000236

  Same enrollment
• Premier Provider Health PA

  • Infectious Disease Physician
  • Austin, TX
  • NPI 1013397066

  O20070615000236

  Same enrollment
• Premier Provider Health PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1700032745

  O20070615000236

  Same enrollment

Locations

Practitioners 76

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

• Jenny Johnson Bischoff, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1912595265

  Single Specialty

  NPD
• Maya Alex Kuriakose, M.D.

  • Obstetrics & Gynecology Physician
  • Arlington, TX
  • NPI 1073967626
  NPD
• Linda Pham, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1881837094
  NPD
• Stephanie Sanders, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1265924583
  NPD
• Kali Van Buskirk Whitney, PA-C

  • Physician Assistant
  • Plano, TX
  • NPI 1578964532
  NPD
• Diana Q Pham, MD

  • Physical Medicine & Rehabilitation Physician
  • Charlottesville, VA
  • NPI 1912437773
  NPD
• Heather Guadalupe Aguirre, D.O.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Antonio, TX
  • NPI 1346687787
  NPD (past)
• Mir Ali, MD

  • Family Medicine Physician
  • Cypress, TX
  • NPI 1063853257
  NPD (past)
• Kirsten Baker, PA

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1932631058
  NPD (past)
• Kellie Behan

  • Physician Assistant
  • Round Rock, TX
  • NPI 1194106070
  NPD (past)
• Richard Alex Benavides, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1497893754
  NPD (past)
• Abigail Elizabeth Burns, NP

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1942729348
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1235280496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3409",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786913409",
            "telephone_number": "513-252-7792",
            "fax_number": "513-904-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310804",
            "telephone_number": "214-466-2828",
            "fax_number": "214-382-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROVIDER HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "PHAM - HULEN",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "MD PA",
        "authorized_official_telephone_number": "214-274-1507"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0021NB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG0245",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Services LLC
• Premier Muscle Testing LLC
• Premier Pain Solutions PLLC
• Premier Physical Therapy, PLLC
• Premier Physician Surgical Associates, PLLC
• Premier Provider Health PA
• Premier Provider Health PA
• Premier Total Healthcare PA
• Premier Transit&Transportation LLC
• Premier Transitional Care of Dallas LLC

• All providers in Dallas, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.