Active NPI
Harry Pham, DO
- Student in an Organized Health Care Education/Training Program
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 900 8TH Ave BLDG Suite220
Fort Worth, TX 76104-3902 - Phone
- (817) 735-2549
- NPI assigned
- Mar 25, 2021
- Last updated
- Apr 14, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | U2978 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
900 8TH Ave BLDG Suite220
Fort Worth, TX 76104-3902
Mailing address
900 8TH Ave BLDG Suite220
Fort Worth, TX 76104-3902
Phone (817) 735-2549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831
3130 N Count Rd
Troy, OH 45373-1337
450 N Hyatt St
Tipp City, OH 45371-1433
Phone (937) 669-9978
9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe, Inc | Current | Accepting new patients | |
| Sinclair Physician Services, LLC | Current | Accepting new patients | |
| Hisey Physician Services, LLC | Current | Accepting new patients | |
| Upper Valley Professional Corporation | Family Medicine | Current | Accepting new patients |
| Mvhe Inc | Current | Accepting new patients | |
| Mvhe Inc | Family Medicine | Current | Accepting new patients |
| Upper Valley Medical Center | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Middletown, OH
- NPI 1073380614
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
-
- Hospitalist Physician
- Dayton, OH
- NPI 1063289601
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1568505105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1639756604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 8TH AVE BLDG SUITE220",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043902",
"telephone_number": "817-735-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 8TH AVE BLDG SUITE220",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043902",
"telephone_number": "817-735-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HARRY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2023-04-14",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U2978",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.