DR. AN T PHAN (NPI# 1588674030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588674030 |
| Entity Type | Individual |
| Full Name | DR. AN T PHAN |
| Credential | M.D. |
| Practice Address |
1370 Dorchester Ave Ste 23 Dorchester MA 02122-2921 |
| Practice Telephone | 6172888883 |
| Practice Fax Number | 6172888887 |
| Mailing Telephone | 6172888883 |
| Mailing Fax Number | 6172888887 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 82073 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110057033A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659849412 | An Phan | Physical Therapist | 16921 Taylor Ct, Torrance, CA 90504-2213 | 2018-11-08 |
| 1215222054 | An Phan | Pharmacist | 8448 Center Run Rd, T-0635, Indianapolis, IN 46250-4505 | 2011-06-09 |
| 1104872274 | An K Phan | Family Medicine | 541 Main St Ste 400, South Weymouth, MA 02190-1889 | 2006-05-26 |
| 1437711173 | An Truong Phan | Pharmacist | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2019-07-02 |
| 1316453087 | An Hoang Phan | Acupuncturist | 2850 Se 82nd Ave Unit 8, Portland, OR 97266-1599 | 2017-12-18 |
| 1154857373 | An Phan | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Fl 4, Honolulu, HI 96813 | 2017-05-08 |
| 1336465293 | An T Phan | Anesthesiology | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2010-04-15 |
| Street Address |
1370 DORCHESTER AVE STE 23 |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194198291 | Vic Homecare, LLC | In Home Supportive Care | 1370 Dorchester Ave, Suite 22b, Dorchester, MA 02122-2921 | 2015-11-11 |
| 1235483371 | Efficacy Inc. | Social Worker | 1370 Dorchester Ave, 32, Dorchester, MA 02122-2921 | 2012-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932580495 | Ankur Patel | Family Medicine | 2100 Dorchester Ave Bldg Suite314, Dorchester, MA 02124-5615 | 2015-06-10 |
| 1730238270 | An Ngoc Thai | Family Medicine | 1443b Dorchester Ave, Dorchester, MA 02122-1347 | 2007-01-10 |
| 1265477145 | Jean Suzin Whitten | Family Medicine | 398 Neponset Avenue, Dorchester, MA 02122 | 2006-06-17 |
| 1255378204 | Grier H Merwin | Family Medicine | 500 Columbia Road, Upham's Corner Health Ctr, Dorchester, MA 02125 | 2006-05-31 |
| 1558332270 | Elisabeth Joan Moths-rebrovic | Family Medicine | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2006-01-30 |
| 1871579342 | Stephenson Bernard Tobierre | Family Medicine | 637 Washington Street, Dorchester, MA 02124 | 2005-12-16 |
| 1992791883 | Christine Farrell-riley | Family Medicine | 637 Washington St, Dorchester, MA 02124-3510 | 2005-09-26 |
| 1023002169 | Geoffrey Alan Modest | Family Medicine | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2005-09-05 |
| 1154321347 | Chinh Van Le | Family Medicine | 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 | 2005-07-28 |
| 1467912949 | Meghna Srinath | Family Medicine | 637 Washington St, Dorchester, MA 02124-3510 | 2019-03-21 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on DR. AN T PHAN.
| 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.