SCOTT PHAM (NPI# 1558366500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558366500 |
| Entity Type | Individual |
| Full Name | SCOTT PHAM |
| Credential | M.D. |
| Practice Address |
1305 W 18th St Sioux Falls SD 57105-0401 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053282929 |
| Practice Fax Number | 6053288429 |
| Mailing Telephone | 6053284540 |
| Mailing Fax Number | 6053284531 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
5175 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6004550 | 05 |
| Street Address |
1305 W 18TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336279 | Lindsey Marie Palmer | Registered Nurse | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-11-05 |
| 1437757622 | Gregory P Studer | Nurse Practitioner | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-10-11 |
| 1992316772 | Kyle Garrett Wescott | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-08-13 |
| 1205445871 | Elizabeth Halverson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-07-29 |
| 1174149710 | Kyle Mamer | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-19 |
| 1750906186 | Gabriel Steinborn | Anesthesiology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-11 |
| 1972128692 | Carrie Jane Anderson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-09 |
| 1437772134 | Laura Anne Taylor | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-05-28 |
| 1215550991 | Ana Beatriz Nevarez Gilbert | Student in an Organized Health Care Education/Training Program | 1305 W 18th St, Sioux Falls, SD 57105 | 2020-05-28 |
| 1114548344 | Spencer Margaret Mathers | Speech-Language Pathologist | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285622670 | North Central Heart Institute | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2005-10-10 |
| 1407109705 | Heart Hospital of South Dakota LLC | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-10-24 |
| 1457323081 | Christopher M Stanton | Internal Medicine | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770523789 | Jose M Teixeira | Internal Medicine | 4150 Fifth Street, Rapid City, SD 57701 | 2006-06-07 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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| 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.