Organization Active NPI

Daniel Pham MD PC

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1346589397
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36781 Issued in OK
Legal business name
DANIEL PHAM MD PC
Practice address
5104 S Sooner Rd
Oklahoma City, OK 73135-5440
Phone
(405) 736-0149
Fax
(405) 737-1346
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Daniel H Pham, MDNPI 1114123114
Title
Physician/ Owner
Phone
(405) 736-0149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36781 OK Primary

Addresses

Primary practice location

5104 S Sooner Rd
Oklahoma City, OK 73135-5440

Mailing address

PO Box 5934
Norman, OK 73070-5934
Phone (405) 736-0149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130410000468 OK Part B Supplier - Clinic/Group Practice 5294971578 Receives reassigned benefits from 3 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

6001 S Sooner Rd
Ste A
Oklahoma City, OK 73135
Phone (405) 605-0077

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1346589397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5934",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730705934",
            "telephone_number": "405-736-0149",
            "fax_number": "405-737-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 S SOONER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731355440",
            "telephone_number": "405-736-0149",
            "fax_number": "405-737-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL PHAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "405-736-0149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "36781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.