Dang Tuan Pham, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

251073-1 Issued in NY

Practice address

2625 Harlem Rd
Suite 160
Buffalo, NY 14225-4031

Phone

(716) 893-0333

Fax

(716) 893-3038

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1831146125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 160",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-0333",
            "fax_number": "716-893-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 160",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-0333",
            "fax_number": "716-893-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DANG TUAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "39502",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "251073-1",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301080957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Pfalzer, NNP
• Kristen Pfalzgraf
• Karen L Pfentner, NP
• Thomas J Pfiffner, M.D.
• Rosalie Pfohman, FNP
• Michael Pham, PA-C
• Thu-Minh Diane Pham, MD
• Jennifer Ann Phelan, FNP
• Mary Phelan
• Mary T Phelan, NP

• Surgery Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.