HOANG NGUYEN PHAM (NPI# 1083708655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083708655 |
| Entity Type | Individual |
| Full Name | HOANG NGUYEN PHAM |
| Credential | M.D. |
| Practice Address |
4326 Evergreen Lane Suite A Annandale VA 22003 |
| Practice Telephone | 7039416944 |
| Practice Fax Number | 7039416311 |
| Mailing Telephone | 7039416944 |
| Mailing Fax Number | 7039416311 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
0101043617 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 268981 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154597706 | Hoang Nguyen Pham | Internal Medicine | 8206 Georgia Ave, Silver Spring, MD 20910-4519 | 2008-05-05 |
| 1699236380 | Hoang Xuan Pham | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2019-03-26 |
| 1316355837 | Hoang Pham | Pharmacist | 10355 Wicklow Way, Jackson, CA 95642-9324 | 2014-07-28 |
| 1346551819 | Hoang H Pham | Internal Medicine | 1900 Sullivan Ave, Lower Level, Daly City, CA 94015 | 2010-06-29 |
| 1699806133 | Hoang N Pham | Internal Medicine | 6555 Coyle Ave Ste 280, Carmichael, CA 95608-0302 | 2007-03-08 |
| 1073693495 | Hoang Pham | Surgery | 350 N Texas Ave, Suite A2, Webster, TX 77598-4959 | 2006-10-17 |
| 1477588150 | Hoang Van Pham | Family Medicine | 9600 Bolsa Ave Ste F, Westminster, CA 92683-5949 | 2006-07-11 |
| Street Address |
4326 EVERGREEN LANE SUITE A |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225343262 | Mary Francis Hunter | Dermatology | 100 2nd St Nw, Charlottesville, VA 22902-5193 | 2010-08-14 |
| 1932426418 | Patricia Lucey | Dermatology | 8100 Boone Blvd, Suite 300, Vienna, VA 22182-4621 | 2010-04-23 |
| 1265635114 | Bridget M Bryer | Dermatology | 215 Wayles Ln Ste 150, Charlottesville, VA 22911-4631 | 2007-06-07 |
| 1053407452 | Theresa Conologue | Dermatology | 1101 Sam Perry Blvd Ste 121, Fredericksburg, VA 22401-4465 | 2006-10-04 |
| 1407867500 | Chauncey A. Mchargue | Dermatology | 1100 Sunset Ln, Suite 1212, Culpeper, VA 22701-3307 | 2006-08-11 |
| 1922049006 | Center for Skin Surgery Pllc | Dermatology | 8301 Old Court House Rd, Vienna, VA 22182 | 2006-06-09 |
| 1952387060 | Martin S Horn | Dermatology | 10721 Main Street, Suite 3100, Fairfax, VA 22030-6906 | 2005-12-20 |
| 1922005537 | Linda Park Nims | Dermatology | 243 Church St Nw, Suite 200 C, Vienna, VA 22180-4434 | 2005-06-29 |
| 1023550654 | James River Dermatology Pllc | Dermatology | 6372 Mechanicsville Tpke Ste 103, Mechanicsville, VA 23111 | 2016-11-14 |
| 1417400763 | Monica Ka Yi Li | Dermatology | 125 Market St, Virginia Beach, VA 23462-6794 | 2016-08-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HOANG NGUYEN PHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.