NPIMap

Individual provider Active NPI

Thanh Pham, M.D.

  • Emergency Medicine Physician
  • La Crosse, WI
National Provider Identifier
1992237770
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
75565 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 57

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.

View all 57

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Elizabeths Hospital of Wabasha Inc 93 clinicians
Grand Itasca Clinic and Hospital 328 clinicians
Tri-County Memorial Hospital Inc 75 clinicians
Gundersen Lutheran Medical Center Inc 888 clinicians
Range Regional Health Services 349 clinicians

Practice addresses (Care Compare)

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361

1910 S Ave
La Crosse, WI 54601-5467
Phone (608) 782-7300

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

Hospital & facility affiliations

  • Grand Itasca Clinic and Hospital Hospital, Grand Rapids, MN, CCN 240064
  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
  • St Elizabeth Medical Center Hospital, Wabasha, MN, CCN 241335
  • Range Regional Health Services Hospital, Hibbing, MN, CCN 240040
  • Gundersen Tri-County Hospital & Clinics Hospital, Whitehall, WI, CCN 521316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210819000046 MN Practitioner - Emergency Medicine 6002157377 Reassigns benefits to 5 organizations
I20211007002945 WI Practitioner - Emergency Medicine 6002157377 Reassigns benefits to 13 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69441MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Clinic LTD CurrentSince Oct 1, 2021 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince May 1, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince May 30, 2024 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Oct 1, 2021 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Oct 1, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Oct 1, 2021 Accepting new patients
Range Regional Health Services CurrentSince May 20, 2023 Accepting new patients
Tomah Memorial Hospital Inc Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Range Regional Health Services CurrentSince May 20, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 1, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Oct 26, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 1, 2021 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Oct 26, 2021 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Oct 26, 2021 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 1, 2021 Accepting new patients
Range Regional Health Services Current Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Oct 1, 2021 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2021 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince May 1, 2024 Accepting new patients
Madison Emergency Physicians, SC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Oct 26, 2021 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc Past Accepting new patients
Gundersen Clinic, LTD. Past Accepting new patients
Memorial Hospital of Boscobel Past Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: tpham813038@direct.gundersenhealth.org
  • Direct secure messaging: tpham441500@fairview.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 69441 MN
Emergency Medicine Physician 207P00000X 75565 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2021.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1992237770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THANH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "69441",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "75565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.