Active NPI
Nhung S Pham, MD
- Internal Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.071379
- Practice address
- 4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953 - Phone
- (614) 268-6555
- Fax
- (614) 457-5723
- NPI assigned
- May 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.071379 | OH | |
| Internal Medicine Physician | 207R00000X | 35.071379 | OH | Primary |
Addresses
Primary practice location
4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953
Mailing address
4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953
Phone (614) 268-6555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164161 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.071379 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Osu Emergency Medicine LLC | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Access Urgent Medical Care of Upper Arlington Inc | Past | Accepting new patients | |
| Mount Carmel Health | Past | Accepting new patients | |
| Holzer Clinic, LLC | Past | Accepting new patients | |
| West Chester Hospital LLC | Internal Medicine | Past | Accepting new patients |
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients |
Locations
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
4885 Olentangy River Rd
Ste 1-20
Columbus, OH 43214
Phone (614) 268-6555
3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
Interoperability endpoints
- spham19076@copcp.medicity.net
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
- Emergency Medical Services (Emergency Medicine) Physician
- Columbus, OH
- NPI 1699705681
-
- Urgent Care Clinic/Center
- Upper Arlington, OH
- NPI 1124017025
-
- Multi-Specialty Clinic/Center
- Gallipolis, OH
- NPI 1508817248
-
- Pediatrics Physician
- Utica, OH
- NPI 1497771521
-
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
-
- Community/Retail Pharmacy
- West Chester, OH
- NPI 1912285115
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1417903352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4885 OLENTANGY RIVER RD STE 1-20",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141953",
"telephone_number": "614-268-6555",
"fax_number": "614-457-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4885 OLENTANGY RIVER RD STE 1-20",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141953",
"telephone_number": "614-268-6555",
"fax_number": "614-457-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "NHUNG",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.071379",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.071379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2164161",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.