Active NPI
Nancy Phan
- Anesthesiologist Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 6411 Fannin St
Houston, TX 77030-1501 - Phone
- (713) 500-6200
- NPI assigned
- Apr 12, 2016
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
6411 Fannin St
Houston, TX 77030-1501
Mailing address
5707 Souris Valley CT
Houston, TX 77085-5809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609001348 | TX | Practitioner - Anesthesiology Assistant | 8921398553 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Austin Anesthesiology Group PLLC
Practice addresses (Care Compare)
7600 Fannin St
Houston, TX 77054-1906
Phone (713) 790-1349
7900 Fannin St
Suite 2300
Houston, TX 77054-2947
Phone (713) 790-1349
Hospital & facility affiliations
- Womans Hospital of Texas,the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physicians Network PLLC | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Austin Anesthesiology Group PLLC | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Austin Anesthesiology Group, PLLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Pediatric Dentistry of Keller PLLC | Past | Accepting new patients |
Locations
2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500
3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500
5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349
7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
7900 Fannin St
Ste 2
Houston, TX 77054
Phone (713) 790-1349
1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Anesthesiologist Assistant, TX
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Pediatric Dentistry
- Keller, TX
- NPI 1750934253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1588028849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 SOURIS VALLEY CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770855809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "NANCY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.