THAO H PHAM (NPI# 1336140698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336140698 |
| Entity Type | Individual |
| Full Name | THAO H PHAM |
| Credential | M.D. |
| Practice Address |
914 N Dixie Ave Suite 100 Elizabethtown KY 42701-2520 |
| Practice Telephone | 2707656149 |
| Practice Fax Number | 2707375235 |
| Mailing Telephone | 2707656149 |
| Mailing Fax Number | 2707375235 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
37275 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DEA | H79665 | 01 |
| KY | PASSPORT ADVANTAGE | 2649647000 | 01 |
| KY | 64062102 | 05 | |
| KY | PASSPORT HEALTH PLAN | 50001581 | 01 |
| KY | ANTHEM BCBS | 000000301574 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131732 | Thao Hieu Pham | Family Medicine | 3985 Steve Reynolds Blvd Ste K102, Norcross, GA 30093-3099 | 2019-09-03 |
| 1093373920 | Thao Phuong Pham | Dentist | 5395 Jimmy Carter Blvd # 700-a, Norcross, GA 30093-1502 | 2019-06-05 |
| 1518425487 | Thao T Pham | Student in an Organized Health Care Education/Training Program | 2612 Se 77th Ave, Portland, OR 97206-1016 | 2019-03-08 |
| 1134426745 | Thao Pham | Physical Therapist | 200 W Santa Ana Blvd. #100, Santa Ana, CA 92701 | 2011-02-16 |
| 1801027016 | Thao Kim Pham | Dentist | 2950 N Fresno St, Fresno, CA 93703-1123 | 2009-08-05 |
| 1093767683 | Thao Phuong Pham | Family Medicine | 15717 15 Mile Rd, Clinton Twp, MI 48035-2101 | 2006-05-16 |
| 1457976060 | Thao Kim Pham | Dentist | 4201 Central Ave Nw Ste F1, Albuquerque, NM 87105-1669 | 2020-06-09 |
| 1689227134 | Thao Pham | Pharmacist | 11190 Warner Ave Ste 111, Santa Ana, CA 92708-4028 | 2019-07-23 |
| 1154880961 | Thao Thanh Pham | Pharmacist | 14444 Coursey Blvd, Baton Rouge, LA 70817-1319 | 2019-03-19 |
| 1205301785 | Thao Thu Pham | Pharmacist | 1801 Saint Charles Ave, New Orleans, LA 70130-5225 | 2018-10-10 |
| Street Address |
914 N DIXIE AVE SUITE 100 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038086 | Kelly R Richardson | Physician Assistant | 914 N Dixie Ave, Suite 304, Elizabethtown, KY 42701-2520 | 2005-07-22 |
| 1295010833 | Etown Infusion Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 914 N Dixie Ave, Suite 101, Elizabethtown, KY 42701-2520 | 2011-10-14 |
| 1184894461 | Sleep Management, LLC | Durable Medical Equipment & Medical Supplies | 914 N Dixie Ave, Ste 106, Elizabethtown, KY 42701-2520 | 2008-03-03 |
| 1043423429 | Heartland Patient Care, Pllc | Internal Medicine | 914 N Dixie Ave, Suite 302, Elizabethtown, KY 42701-2520 | 2007-05-08 |
| 1215149273 | Heartland Internal Medicine Pllc. | Internal Medicine | 914 N Dixie Ave, Elizabethtown, KY 42701-2520 | 2007-05-04 |
| 1912037383 | Ordie L Day II | Dentist | 914 N Dixie Ave, Suite 207, Elizabethtown, KY 42701-2520 | 2007-03-06 |
| 1932266947 | A.m. Faheem, M.d., P.s.c. | Specialist | 914 N Dixie Ave, Suite 302, Elizabethtown, KY 42701-2520 | 2007-01-02 |
| 1467520098 | Javier J Arce Md Psc | Spec/Tech, Cardiovascular | 914 N Dixie Ave, Suite 203, Elizabethtown, KY 42701-2520 | 2006-12-01 |
| 1235217928 | Dr. Elizabeth D. Sebree Md Psc | Obstetrics & Gynecology | 914 N Dixie Ave, Suite 208, Elizabethtown, KY 42701-2520 | 2006-11-01 |
| 1144327339 | Henry H. Bunch | Dentist | 914 N Dixie Ave, Suite 200, Elizabethtown, KY 42701-2520 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285615435 | Tao T Le | Allergy & Immunology | 914 N Dixie Ave, Suite 100, Elizabethtown, KY 42701-2520 | 2005-11-07 |
| 1316948698 | Ha Thanh Le | Allergy & Immunology | 914 N Dixie Ave, Suite 100, Elizabethtown, KY 42701-2520 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216052 | Allergy Asthma & Sinus Center Pllc | Allergy & Immunology | 1136 Monarch St, Lexington, KY 40513-1888 | 2008-02-15 |
| 1386786796 | Tri-state Allergy, Inc | Allergy & Immunology | 2301 Lexington Ave Ste 105, Ashland, KY 41101-2807 | 2007-02-13 |
| 1124092499 | James D Clifford | Allergy & Immunology | 1136 Monarch Street, Lexington, KY 40513 | 2006-02-14 |
| 1831193788 | Barbara S. Isaacs | Allergy & Immunology | 801 Barret Ave, Ste 110, Louisville, KY 40204-1732 | 2005-06-09 |
| 1841821659 | Mobile Allergy & Urgent Care LLC | Allergy & Immunology | 3260 Lexington Rd, Nicholasville, KY 40356-9798 | 2020-01-30 |
| 1033436282 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 9800 Shelbyville Rd, Louisville, KY 40223-2977 | 2010-04-28 |
| 1780828871 | Allergy and Asthma Clinic, Pllc | Allergy & Immunology | 2312 Kentucky Ave, Paducah, KY 42003-3244 | 2009-04-21 |
| 1275653909 | Fragge Allergy & Asthma Clinics Psc | Allergy & Immunology | 2300 Chamber Center Dr, Suite 102, Lakeside Park, KY 41017-1673 | 2007-03-29 |
| 1134230709 | Peter F. Ballard | Allergy & Immunology | 478 Whirlaway Dr, Suite 100, Danville, KY 40422-9037 | 2006-08-31 |
| 1285740175 | Eastern Ky Allergy and Asthma Pllc | Allergy & Immunology | 11021 Main St, Martin, KY 41649 | 2006-08-22 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on THAO H 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.