DR. CUONG C PHAM (NPI# 1891919270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891919270 |
| Entity Type | Individual |
| Full Name | DR. CUONG C PHAM |
| Credential | M.D. |
| Practice Address |
One William Key Blvd Fort Supply OK 73841-0061 |
| Mailing Address |
1104 N Doreen St Wichita KS 67206-3820 |
| Practice Telephone | 5807662224 |
| Practice Fax Number | 5807662030 |
| Mailing Telephone | 3166340491 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23839 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386658433 | Cuong T Pham | Optometrist | 13331 Preston Rd, 2228, Dallas, TX 75240-1130 | 2006-07-27 |
| 1235424102 | Cuong Pham | Pharmacist | 1600 Saratoga Ave, T1427, San Jose, CA 95129-5101 | 2011-06-17 |
| 1790970341 | Cuong Quoc Pham | Internal Medicine | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2007-09-06 |
| 1780619684 | Cuong V Pham | Family Medicine | 1602 Garth Rd, 250, Baytown, TX 77520-2410 | 2006-07-11 |
| Street Address |
ONE WILLIAM KEY BLVD |
| City | FORT SUPPLY |
| State | OK |
| Zip Code | 73841-0061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553163 | Mirissa Joy Beavers | Social Worker | 193461 E. County Rd. 304, Fort Supply, OK 73841 | 2019-11-25 |
| 1801119128 | Stephanie Harper | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1265755581 | Penny Hills | Registered Nurse | 1 Mile E. U S Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1982782181 | Patrick Scott Herd | Psychiatry & Neurology | Northwest Center for Behavioral Health, 1 Mile East On Hwy 270, Fort Supply, OK 73841 | 2006-11-02 |
| 1619290939 | Carrie Randall | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1528381845 | Sanzee Suthers | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1538482856 | Cathy Heinen | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1700109022 | Sharon Potts | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1669980173 | Laura S Brandvik | Licensed Practical Nurse | Po Box 1, Fort Supply, OK 73841-0001 | 2018-01-18 |
| 1932478070 | Angela M Myers | Nurse Practitioner | 193461 East County Road 304, Fort Supply, OK 73841-0001 | 2011-12-19 |
| Find all providers in zip 73841 | ||||
| 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. |
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| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
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| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT SUPPLY |
| Zip Code | 73841 |
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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.