Active NPI
Pamela V. Tran, M.D.
- Psychiatry Physician
- Gary, IN
National Provider Identifier
1447386131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01049625
- Practice address
- 1100 W 6TH Ave
Gary, IN 46402-1711 - Phone
- (219) 885-4264
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01049625 | IN | Primary |
Addresses
Primary practice location
1100 W 6TH Ave
Gary, IN 46402-1711
Mailing address
1100 W 6TH Ave
Gary, IN 46402-1711
Phone (219) 885-4264
Other names 1
- Mrs. Pamela Tran Ong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049625 | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewater Systems for Balanced Living, Inc | Current | Accepting new patients | |
| Edgewater Systems for Balanced Living, Inc. | Current | Accepting new patients |
Locations
1100 W 6th Ave
Gary, IN 46402
Phone (219) 881-2466
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1093670648
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gary, IN
- NPI 1588705784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1447386131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 6TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464021711",
"telephone_number": "219-885-4264",
"fax_number": "219-882-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 6TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464021711",
"telephone_number": "219-885-4264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PAMELA",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01049625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "ONG",
"middle_name": "TRAN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.