Thuylinh Pham, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E1751 Issued in AR

Practice address

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

Phone

(479) 441-1500

Fax

(479) 441-1502

NPI assigned

May 24, 2006

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Wayne State University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Fort Smith, AR, CCN 047339
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thuylinh Ho Pham MD PLLC

  dba Southside Medical Clinic

  • Internal Medicine Physician
  • Fort Smith, AR
  • NPI 1205248259
  Medicare reassignment NPD Authorized official
• Southside Medical Clinic

  • Internal Medicine Physician
  • Fort Smith, AR
  • NPI 1194937235
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Regional Hospitals

  dba Baptist Health - Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• LHCG Xlii, LLC

  dba Elite Home Health

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1154668895
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1356396790",
    "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": {
        "last_name": "PHAM",
        "first_name": "THUYLINH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134686001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Pesetsky
• Kathleen Peters, MHPP
• Elizabeth Rorie Petray, LCSW
• Katelynn Pettenger
• Marie Pham-Russell, DNP
• Alexander Phan
• Carol Ngoc Phan
• Soutnakhon Phandanouvong, APRN
• Michael Victor Pharis, DPT
• Pharmaceutical Investment Corp. (Vaughn Prescription Drug Store)

• 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 Oct 21, 2008; 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.

Verify at the official NPI Registry.