Active NPI
Trung Quoc Pham, M.D.
- Anesthesiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 32949
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 494-0612
- Fax
- (918) 481-5170
- NPI assigned
- Apr 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 32949 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Other names 1
- Dr. Trung Quoc Pham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32949 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh Aai PLLC | Anesthesiology | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients |
Locations
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
920 Stanton L Young Blvd
Ste 1140
Oklahoma City, OK 73104
6839 S Canton Ave
Tulsa, OK 74136
Phone (918) 494-0612
2408 E 81st St
Ste 900
Tulsa, OK 74137
Phone (918) 477-5000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1891733598
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1205170461
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1255865366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363402",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-494-0612",
"fax_number": "918-481-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TRUNG",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-14",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "32949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRUNG",
"last_name": "PHAM",
"middle_name": "QUOC",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.