ANH NGOC PHAM (NPI# 1972864940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972864940 |
| Entity Type | Individual |
| Full Name | ANH NGOC PHAM |
| Credential | PA |
| Practice Address |
4379 Ridgewood Center Dr Suite 102 Woodbridge VA 22192-8322 |
| Practice Telephone | 7036807950 |
| Mailing Telephone | 7036807950 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110003873 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417596412 | Anh Tho T Pham | Pharmacist | 40 Teed Dr, Randolph, MA 02368-4202 | 2019-12-23 |
| 1932582467 | Anh Khoa Pham | Dermatology | 850 Kempsville Rd Ste 100d, Norfolk, VA 23502-3920 | 2015-07-01 |
| 1699025510 | Anh Phuong Pham | Dentist | 4318 W Fuqua, Houston, TX 77045 | 2012-09-18 |
| 1902174402 | Anh Thu Nu Pham | Pharmacist | 7345 Linda Vista Rd Ste B, San Diego, CA 92111-5800 | 2011-12-12 |
| 1700909157 | Anh Tu Pham | Dentist | 8244 East Garvey Avenue, Suite A, Rosemead, CA 91770 | 2007-04-09 |
| 1760547681 | Anh Tien Pham | Chiropractor | 1007 Poteet Jourdanton Fwy, 120, San Antonio, TX 78224-1207 | 2006-12-22 |
| 1427136308 | Anh B Pham | Pharmacist | 25975 Normandie Ave, Harbor City, CA 90710-3416 | 2006-11-01 |
| 1265424956 | Anh Tuan Pham | Family Medicine | 20412 Boland Farm Rd, Germantown, MD 20876-4007 | 2005-08-18 |
| 1346241957 | Anh T Pham | Dentist | 13035 Lee Jackson Memorial Hwy Ste D, Fairfax, VA 22033-2039 | 2005-08-04 |
| 1770113110 | Anh V Pham | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2020-01-24 |
| Street Address |
4379 RIDGEWOOD CENTER DR SUITE 102 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303651 | Katie Lynne Kotopoulos | Nurse Practitioner | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2005-08-19 |
| 1356828560 | Mary Hunnicutt | Counselor | 4379 Ridgewood Center Dr, Woodbridge, VA 22192-8322 | 2018-07-20 |
| 1427400639 | Matthew Lam | Dentist | 4379 Ridgewood Center Dr, Woodbridge, VA 22192-8322 | 2016-07-12 |
| 1831573575 | Afsaneh Samatha Shahidi | Dentist | 4379 Ridgewood Center Dr, Woodbridge, VA 22192-8322 | 2015-07-13 |
| 1710360029 | Amber Hasan | Dentist | 4379 Ridgewood Center Dr, Ste 102, Woodbridge, VA 22192-8322 | 2015-07-06 |
| 1689063687 | Mi-yon Choi | Dentist | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2015-01-13 |
| 1275974156 | Sheetal Ray | Dentist | 4379 Ridgewood Center Dr, Ste 102, Woodbridge, VA 22192-8322 | 2013-07-09 |
| 1790125755 | Amparo Lizeth Pinzon Avellaneda | Dentist | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2013-07-04 |
| 1992053466 | Alvaro Vargas | Counselor | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2012-08-15 |
| 1720352933 | Allison B Colby | Physician Assistant | 4379 Ridgewood Center Dr, Woodbridge, VA 22192 | 2012-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1952318826 | Angela Kay Minor | Physician Assistant | 12731 Marblestone Dr Ste 200, Woodbridge, VA 22192-8334 | 2006-08-02 |
| 1558962712 | Madison Belou | Physician Assistant | 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 | 2020-11-04 |
| 1558860668 | Hirza Raza | Physician Assistant | 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4722 | 2018-02-04 |
| 1639686009 | Mahnoor Moin | Physician Assistant | 14010 Smoketown Rd, Woodbridge, VA 22192-4722 | 2018-01-05 |
| 1235650268 | Miri Rhee Kim | Physician Assistant | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2017-06-29 |
| 1922548130 | Nitiksha Patel | Physician Assistant | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2017-03-07 |
| 1437508215 | Dana Wilkinson | Physician Assistant | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2016-06-13 |
| 1689037715 | Michelle Karimzada | Physician Assistant | 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191 | 2016-04-05 |
| 1316355878 | Sophia Osmanzada | Physician Assistant | 4158 Dale Blvd, Woodbridge, VA 22193-2225 | 2014-07-29 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on ANH NGOC 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.