Matthew Pham MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11052 Issued in NV

Legal business name

MATTHEW PHAM MD PC

Practice address

500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082

Phone

(702) 450-1717

Fax

(702) 947-6740

NPI assigned

Oct 23, 2006

Last updated

May 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Pham, MD

Title

Owner

Phone

(702) 450-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Nevada Hospitalist Group LLP

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1770812877

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hamid Tamim Haider, MD

  • Internal Medicine Physician
  • North Las Vegas, NV
  • NPI 1811011331
  Medicare reassignment NPD
• Syed Fawad Hussain, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1265408041
  Medicare reassignment NPD
• Matt Hai Pham, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1003917055
  Medicare reassignment NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1912080797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW PHAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-450-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Okeke MD LTD (Grand Desert Psychiatric Services)
• Matthew Okeke MD LTD (Grand Desert Psychiatric Services)
• Matthew Okeke, M.D. LTD (Grand Desert Psychiatric Services)
• Matthew Okeke, M.D. LTD (Grand Desert Treatment Center)
• Matthew Okeke, M.D. LTD (Grand Desert Psychiatric Services)
• Matthew R Wirig, DMD, PC
• Matthew Swanic M D PLLC (Las Vegas Eye Institute)
• Brian Matthew, RPH
• Godwin Salifu Matthew, MD
• Lucia Carol Matthew

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.