Pham Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHAM MEDICAL ASSOCIATES PC

Practice address

1996 Centre St
West Roxbury, MA 02132-3329

Phone

(617) 469-0470

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Dominique Pham, MDNPI 1891776662

Title

President

Phone

(800) 927-0002

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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.

• Dominique Pham, MD

  • Internal Medicine Physician
  • West Roxbury, MA
  • NPI 1891776662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1316924863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9137",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469137",
            "telephone_number": "800-927-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323329",
            "telephone_number": "617-469-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-927-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9733710",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura J Perry, M.D.
• Janice P Peters, HCP
• Eugene Petti, DDS
• Heather Pfleider
• Mai Pha, NP
• Dominique Pham, MD
• Suzanne Pauline Piening, PH.D.
• Emily Pike
• Heather Pironti
• Roni Pitts, OTR/L

• Internal Medicine Physician in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.