Mai Pham, MD PS

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD00048340 Issued in WA

Legal business name

MAI PHAM, MD PS

Doing business as

Seattle Vascular Surgery

Practice address

7315 212TH St SW
Suite 103
Edmonds, WA 98026-7610

Phone

(206) 322-2000

Fax

(206) 322-2001

NPI assigned

Apr 1, 2013

Last updated

Apr 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mai Thanh Pham, MD

Title

Vascular Surgeon

Phone

(206) 322-2000

Specialties & licenses 1

Addresses

Other names 1

• Seattle Vascular Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikolous Fox, DNP, ARNP, FNP-C

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1336676105
  Medicare reassignment NPD
• Yi Soo Robert Kim, M.D.

  • Vascular Surgery Physician
  • Gig Harbor, WA
  • NPI 1891978128
  Medicare reassignment NPD
• Jason Kwang-Gu Lee, MD

  • Vascular Surgery Physician
  • Seattle, WA
  • NPI 1114965332
  Medicare reassignment NPD
• Rajitha Mathew, FNP-C

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1386185098
  Medicare reassignment NPD
• Sepideh Makouei, PA-C

  • Physician Assistant
  • Seattle, WA
  • NPI 1477900876
  Medicare reassignment

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1457694127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 103",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "206-322-2000",
            "fax_number": "206-322-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 103",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "206-322-2000",
            "fax_number": "206-322-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI PHAM, MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "VASCULAR SURGEON",
        "authorized_official_telephone_number": "206-322-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00048340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annamarie Mackey, MD
• Alexandria Lauren Macmillan, LMHCA
• Mahadeep Virk DMD-Edmonds PS (Avenue Dental Care)
• Mahoney Family Dentistry
• Roderick K Mahurin, PH.D.
• John D Maldazys, MD
• Gurjot Kaur Malhi, MD
• Linda Mallery, LPN
• Praveen Kumar Mambalam, M.D.
• Carolyn Elizabeth Mangelsdorf, PH.D.

• Clinic/Center in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.