Peter D Pham (NPI# 1568877264, PAC ID# 8820350028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1568877264 |
| PAC ID by PECOS | 8820350028 |
| Professional Enrollment ID | I20180328002281 |
| Full Name | Peter D Pham |
| Organization Legal Name | NORTHWEST EXTREMITY SPECIALISTS LLC |
| Address |
5493 Amy St West Linn OR 97068-3320 |
| Phone Number | 5032452420 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3577881747 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 | 5032452420 | NORTHWEST EXTREMITY SPECIALISTS LLC |
| 5493 Amy St, West Linn, OR 97068-3320 | 5032452420 | NORTHWEST EXTREMITY SPECIALISTS LLC |
| Organization Legal Name | NORTHWEST EXTREMITY SPECIALISTS LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mia Horvath | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Patricia E Cain | Podiatry | Northwest Extremity Specialists LLC | 5493 Amy St, West Linn, OR 97068-3320 |
| Yama A Dehqanzada | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Julie E Horowitz | Physical Therapy | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Denny V Le | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Lopa Dalmia | Podiatry | Northwest Extremity Specialists LLC | 5050 Ne Hoyt St, Suite 138, Portland, OR 97213-2955 |
| Thomas C Melillo | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Todd L Galle | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Manny Moy | Podiatry | Northwest Extremity Specialists LLC | 6542 Se Lake Rd, Suite 102, Milwaukie, OR 97222-2245 |
| Jason R Surratt | Podiatry | Northwest Extremity Specialists LLC | 9900 Sw Hall Blvd, Suite 100, Tigard, OR 97223-5843 |
| Street Address |
5493 AMY ST |
| City | WEST LINN |
| State | OR |
| Zip | 97068-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia E Cain | Podiatry | Northwest Extremity Specialists LLC | 5493 Amy St, West Linn, OR 97068-3320 |
| Amy Theppote | Podiatry | Northwest Extremity Specialists LLC | 5493 Amy St, West Linn, OR 97068-3320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindi L Robinson | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| Farnaz Dana Fakhari | Dermatology | 18380 Willamette Dr, Suite 201, West Linn, OR 97068-1200 | |
| Ryan G Scott | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| David B Farley | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| Joyce S Endo | Family Medicine | West Linn Family Health Center | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 |
| Kathryn G Kolonic | Family Practice | Advanced Internal Medicine Group PC | 18603 Willamette Dr, West Linn, OR 97068-1705 |
| Janet D Thompson | Chiropractic | 18813 Willamette Dr, West Lynn, OR 97068-1711 | |
| Sonjia Michaels | Chiropractic | 18813 Willamette Dr, West Linn, OR 97068-1711 | |
| Huey J Meeker | Internal Medicine | 18670 Willamette Dr, Suite 101, West Linn, OR 97068-1796 | |
| Victoria L Bryson | Physical Therapy | Therapeutic Associates Inc | 19129 Willamette Dr, West Linn, OR 97068-2019 |
| Find all physicians in zip 97068 | |||
| City | WEST LINN |
| Zip Code | 97068 |
| Specialty | PODIATRY |
| City + Specialty | WEST LINN + PODIATRY |
Please comment or provide details below to improve the information on Peter D 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.