MR. ANTHONY THANH PHAN (NPI# 1982030144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982030144 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY THANH PHAN |
| Practice Address |
27 Hillsdale Rd Medford MA 02155-5209 |
| Practice Telephone | 9179303689 |
| Mailing Telephone | 9179303689 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700976552 | Anthony Phan | Dentist | 445 W Craig Rd # 121-122, N Las Vegas, NV 89032-1230 | 2006-10-13 |
| 1730729724 | Anthony Phan | Student in an Organized Health Care Education/Training Program | 4238 Auburn Way N, Auburn, WA 98002-1311 | 2020-01-08 |
| 1851852123 | Anthony Calvin Phan | Physical Medicine & Rehabilitation | 1401 S California Ave Ste 1, Chicago, IL 60608-1694 | 2019-03-28 |
| 1508368499 | Anthony Ein Phan | Behavioral Analyst | 15373 Innovation Dr, San Diego, CA 92128-3415 | 2018-03-06 |
| 1245760438 | Anthony Vinh Phan | Family Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2017-06-19 |
| 1437508009 | Anthony Phan | Physical Therapist | 600 S Churton St, Apt 17, Hillsborough, NC 27278-2619 | 2016-06-06 |
| 1437495900 | Anthony Van Phan | Marriage & Family Therapist | 4000 W Metropolitan Dr # 120, Orange, CA 92868-3504 | 2013-01-02 |
| 1124207006 | Anthony Thong Phan | Internal Medicine | 1189 Swallow Ln Ste 110, Simi Valley, CA 93065-3157 | 2007-10-29 |
| Street Address |
27 HILLSDALE RD |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911091 | Araceli Olivares Mciff | Counselor | 201 W 6th St Ste 101, Medford, OR 97501-2708 | 2020-08-04 |
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1326674417 | Jean Yih Kingston | Counselor | Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 | 2020-03-20 |
| 1063059228 | Chiron Center Incorporated | Counselor | 2909 N Phoenix Rd, Medford, OR 97504-9490 | 2019-12-06 |
| 1790321784 | Cassandra F Lawrence | Counselor | 1503 Race Ave, Medford, NY 11763-1859 | 2019-11-25 |
| 1427691955 | Claire Elizabeth Ann Vos | Counselor | 807 Impala Dr, Medford, WI 54451-1206 | 2019-10-28 |
| 1033768718 | Hope Koram | Counselor | 15 Carberry St, Medford, MA 02155-1804 | 2019-09-05 |
| 1649767203 | Kerry Ellis | Counselor | 190 High St Apt 210, Medford, MA 02155-3810 | 2018-04-19 |
| 1942701271 | Winding Tree Counseling Services LLC | Counselor | 916 W 10th St Ste 100, Medford, OR 97501-3018 | 2018-02-22 |
| Find all providers in MEDFORD | ||||
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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.