Phong Tuan Dam, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP138415 Issued in TX

Practice address

939 Caroline St
Port Angeles, WA 98362-3997

Phone

(360) 417-7000

Fax

(360) 565-9241

NPI assigned

Jan 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Merit-based Incentive Payment System (MIPS)

Final score

89.78 of 100Reported as group

Quality

77.82

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Foucher Emergency Group LLC

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1871879007

  Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1750855300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 LEILANI DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551064",
            "telephone_number": "323-509-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623997",
            "telephone_number": "360-417-7000",
            "fax_number": "360-565-9241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Foucher St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153593",
            "country_code": "US",
            "telephone_number": "504-897-7011",
            "fax_number": "504-897-8394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12805 Cullen Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770473760",
            "country_code": "US",
            "telephone_number": "323-509-8817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAM",
        "first_name": "PHONG",
        "middle_name": "TUAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP138415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy L Dachs
• Amanda Daggett, CPM, BDC
• Linda Susan Dahl, ARNP
• Paul Crayton Daley, PH.D.
• Anne Gladys Dalton, M.S.W.
• Dana Shaltry DDS Ms PC
• Minh Dang, PHARMD
• Kelli Dawn Daniels
• Trent Lawrence Danielson, PHARMD
• Michael B Danley

• Family Medicine Physician in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.

Verify at the official NPI Registry.