DR. CHI M PHAM (NPI# 1881710226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881710226 |
| Entity Type | Individual |
| Full Name | DR. CHI M PHAM |
| Credential | MD |
| Practice Address |
1001 12th Ave 200 Fort Worth TX 76104-3926 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 8178502000 |
| Practice Fax Number | 8178502015 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M0222 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M0222 | TX | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
M0222 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 196293802 | 05 | |
| TX | 163293801 | 05 | |
| TX | 196293803 | 05 | |
| TX | BCBSTX | 8AQ007 | 01 |
| TX | RAILROAD MEDICARE | P00662593 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888935 | Chi Dinh Pham | Family Medicine | 10160 Pensive Ponder St, Las Vegas, NV 89178-6559 | 2018-07-23 |
| 1285810317 | Chi Pham | Dentist | 7377 S Jones Blvd Ste 110, Las Vegas, NV 89139-0547 | 2008-01-18 |
| 1003850033 | Chi M Pham | Legal Medicine | 12303 Westheimer Rd, Ste B, Houston, TX 77077-6059 | 2006-06-16 |
| 1912283185 | Chi P Pham | Pharmacist | 281 Main St, Apt 401, Waterville, ME 04901-4957 | 2011-11-01 |
| 1912032368 | Chi H Pham | Anesthesiology | 310 Woodstown Rd, Salem, NJ 08079-2064 | 2007-02-23 |
| Street Address |
1001 12TH AVE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919172 | Health Texas Provider Network-family Practice of North Texas LLP | Family Medicine | 1001 12th Ave, Suite 130, Fort Worth, TX 76104-3926 | 2005-08-16 |
| 1952848939 | Nasc Medical, LLC | Durable Medical Equipment & Medical Supplies | 1001 12th Ave, 171, Fort Worth, TX 76104-3926 | 2017-01-27 |
| 1629520655 | Jennifer West | Nurse Practitioner | 1001 12th Ave, Suite 200, Fort Worth, TX 76104-3926 | 2016-10-25 |
| 1275987661 | Paramount Evaluation Group LLC | Pain Medicine | 1001 12th Ave, Fort Worth, TX 76104-3926 | 2016-04-21 |
| 1255737276 | Spotlight Pro Management | Physiological Laboratory | 1001 12th Ave, Suite 170, Fort Worth, TX 76104-3926 | 2014-11-18 |
| 1457760449 | Genesis Gayle Bridges | Physician Assistant | 1001 12th Ave, #200, Fort Worth, TX 76104-3926 | 2014-08-04 |
| 1528303658 | Cassie Ringhoffer | Physician Assistant | 1001 12th Ave, Suite 170, Fort Worth, TX 76104-3926 | 2012-11-29 |
| 1366710196 | Texas Center for Urology LLP | Urology | 1001 12th Ave, Suite 140, Fort Worth, TX 76104-3926 | 2011-12-07 |
| 1194019836 | Applied Pain Associates, Pllc | Specialist | 1001 12th Ave, Suite 172, Fort Worth, TX 76104-3926 | 2011-05-28 |
| 1336454131 | Betty J. Thomas | Physician Assistant | 1001 12th Ave, Fort Worth, TX 76104-3926 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063444297 | David N Barrera | Internal Medicine | 6500 Harris Pkwy, Fort Worth, TX 76132-4136 | 2006-07-07 |
| 1760441885 | Asad Dean | Internal Medicine | 500 S Henderson St Ste 200, Fort Worth, TX 76104 | 2006-03-18 |
| 1205830619 | Richard Alleyne Artim | Internal Medicine | 710 W Leuda St, Fort Worth, TX 76104-3114 | 2005-06-13 |
| 1063415735 | Mary Milam | Internal Medicine | 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 | 2005-05-24 |
| 1477810612 | Vinh Q Trang | Internal Medicine | 500 S Henderson St Ste 200, Fort Worth, TX 76104 | 2012-04-12 |
| 1447544838 | Asim Ahmad | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2011-06-03 |
| 1952539348 | Virginia Stark-vance, M.d., P.a. | Internal Medicine | 1325 Pennsylvania Ave, Suite 120, Fort Worth, TX 76104-2158 | 2009-06-24 |
| 1174786933 | Mary Milam, M.d., P.a. | Internal Medicine | 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 | 2008-07-02 |
| 1326207838 | Nicole Schrock Bartosh | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2008-06-09 |
| 1033386578 | Texas Oncology Pa | Internal Medicine | 6500 Harris Pkwy, Fort Worth, TX 76132-4136 | 2008-05-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on DR. CHI M 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.