Individual provider Active NPI

Carla Pham, CNP

  • Family Nurse Practitioner
  • Uniontown, OH
National Provider Identifier
1740711084
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020614 Issued in OH
Practice address
3838 Massillon Rd Ste 360
Uniontown, OH 44685-7965
Phone
(330) 896-9625
Fax
(330) 896-9768
NPI assigned
Mar 27, 2017
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020614 OH Primary

Addresses

Primary practice location

3838 Massillon Rd Ste 360
Uniontown, OH 44685-7965

Mailing address

3838 Massillon Rd Ste 360
Uniontown, OH 44685-7965
Phone (330) 896-9625

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501001073 OH Practitioner - Nurse Practitioner 2860734464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oak ClinicGroup PAC ID 2769470590, 5 clinicians

Practice addresses (Care Compare)

3838 Massillon Rd
Suite 360
Uniontown, OH 44685-7965
Phone (330) 896-9625

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020614OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Oak Clinic CurrentSince Jan 1, 2020 Accepting new patients

Locations

3838 Massillon Rd
Green, OH 44685
Phone (330) 896-9625

3838 Massillon Rd
Ste 360
Green, OH 44685
Phone (330) 896-9625

Organizations & group practices 1

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.

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1740711084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 MASSILLON RD STE 360",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857965",
            "telephone_number": "330-896-9625",
            "fax_number": "330-896-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 MASSILLON RD STE 360",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857965",
            "telephone_number": "330-896-9625",
            "fax_number": "330-896-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CARLA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.