Ryan K Pham (NPI# 1407173230, PAC ID# 6406075001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1407173230 |
PAC ID by PECOS | 6406075001 |
Professional Enrollment ID | I20140912002031 |
Full Name | Ryan K Pham |
Organization Legal Name | PRESTIGE DERMATOLOGY PLLC |
Address |
621 Sw Johnson Ave Suite C Burleson TX 76028-5833 |
Phone Number | 8177667421 |
Gender | M |
Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
Graduation Year | 2010 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 2365752813 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1100 Orchard Dr, Suite B, Arlington, TX 76012-2519 | 6827120100 | CENTER FOR DERMATOLOGY |
621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | 8177667421 | PRESTIGE DERMATOLOGY PLLC |
3629 Western Ctr Blvd, Suite 211, Fort Worth, TX 76137-1940 | 8177667422 | PRESTIGE DERMATOLOGY OF ALLIANCE PLLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 62% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 62% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 62% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 84% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 84% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 84% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 35% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 35% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 35% |
Organization Legal Name | PRESTIGE DERMATOLOGY PLLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nhi Hoai Le | Family Medicine | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Nguyet A Nguyen | Physician Assistant | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Hong Do | Nurse Practitioner | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Cassandra Layne Petrilla | Physician Assistant | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Street Address |
621 SW JOHNSON AVE SUITE C |
City | BURLESON |
State | TX |
Zip | 76028-5833 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nhi Hoai Le | Family Medicine | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Nguyet A Nguyen | Physician Assistant | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Hong Do | Nurse Practitioner | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Cassandra Layne Petrilla | Physician Assistant | Prestige Dermatology Pllc | 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dalton M Ryba | Podiatry | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
Gurpreet S Bajaj | Orthopedic Surgery | Gurpreet S. Bajaj, M.d., P.a. | 215 Old Hwy 1187, Burleson, TX 76028-0281 |
Von L Evans Jr. | Orthopedic Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
John A Thomas | Orthopedic Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
Jeffrey J Ratusznik | Orthopedic Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
Alfonso B Barragan | Hand Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
Christopher P Werner | Podiatry | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
Jennifer Anne Barton | Physical Therapy | Cleburne Physical Therapy and Sports Rehabilitation Inc | 667 Ne Alsbury Blvd, Real Performance, Burleson, TX 76028-2660 |
Lawrence A Whaley | Emergency Medicine | 671 Ne Alsbury Blvd, Suite B, Burleson, TX 76028-2660 | |
Tyler Truitt | Physical Therapy | Cleburne Physical Therapy and Sports Rehabilitation Inc | 667 Ne Alsbury Blvd, Real Performance, Burleson, TX 76028-2660 |
Find all physicians in zip 76028 |
City | BURLESON |
Zip Code | 76028 |
Specialty | DERMATOLOGY |
City + Specialty | BURLESON + DERMATOLOGY |
Please comment or provide details below to improve the information on Ryan K Pham.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.