Phuong Nhu Thi Pham · Physician Assistant

10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361

Overview

Phuong Nhu Thi Pham is a Physician Assistant practicing in Chicago Ridge, Illinois. The National Provider Identifier (NPI) is #1588454516, which was assigned on May 12, 2025, and the registration record was last updated on May 12, 2025. The practitioner's main practice location is at 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361; the contact telephone number is 7083469533. The primary taxonomy of Phuong Nhu Thi Pham is Physician Assistant (363A00000X). Phuong Nhu Thi Pham is licensed to practice in the state of Illinois (#085011147).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1588454516
Entity Type Individual
Provider Name PHUONG NHU THI PHAM
Gender Female
Credential PA-C
Practice Address 10258 Southwest Hwy Ste A
Chicago Ridge
IL 60415-1361
Practice Telephone 7083469533
Mailing Address 10258 Southwest Hwy Ste A
Chicago Ridge
IL 60415-1361
Mailing Telephone 7083469533
Certification Date 2025-05-12
Enumeration Date 2025-05-12
Last Update Date 2025-05-12
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5395253371
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name PHUONG NHU THI PHAM
Primary Specialty PHYSICIAN ASSISTANT
Address 10258 Southwest Hwy
Suite A
Chicago Ridge
IL 60415

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant085011147IL

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Tangerinemed PLLC 5473 Blair Rd Ste 100, Dallas, TX 75231-4227Physician Assistant2025-10-09
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Ekaterina Vasiliki Apostolou 8131 Old Tavern Rd, Roanoke, VA 24019-6808Physician Assistant2025-10-11
Samantha Eriko Miyashita 110 W 97th St, New York, NY 10025-6450Physician Assistant2025-10-10
Chun-Rung Chen 360 Linden Oaks Ste 220, Rochester, NY 14625-2814Physician Assistant2025-10-10
Emma Victoria Kelly 1000 Dutch Ridge Rd, Beaver, PA 15009-9727Physician Assistant2025-10-11
Vanessa Olivier-Meo 12937 Nw 24th Ave, Miami, FL 33167-1577Physician Assistant2025-10-10
Tylee Bao 275 Mount Carmel Ave, Hamden, CT 06518-1961Physician Assistant2025-10-11
Noah Daniel Webb 70 Remick Blvd, Springboro, OH 45066-9168Physician Assistant2025-10-09
Michelle Rodriguez Suarez · Mitch Rodriguez 1560 Windorah Way Apt A, West Palm Beach, FL 33411-1987Physician Assistant2025-10-11
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Location Information

Street Address 10258 SOUTHWEST HWY STE A
City CHICAGO RIDGE
State IL
Zip Code 60415-1361
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Martin Ira Ellenby 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361Surgery Physician2005-07-22
Emily Tai 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361Physician Assistant2025-03-17

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jae H Kim 10400 Southwest Hwy, Chicago Ridge, IL 60415-1367Urology Physician2006-07-17
Jade Enriquez 9923 Ridgeland Ave # 90, Chicago Ridge, IL 60415-1262Psychiatric/Mental Health Nurse Practitioner2025-08-30
Nidhi J Shah 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426Occupational Therapist2025-01-31
Gabriela Ibarra 6524 Ridge Dr, Chicago Ridge, IL 60415-1827Family Nurse Practitioner2025-08-20
Camlinh Nguyen Roska 10604 Sw Hwy Suite 200, Chicago Ridge, IL 60415Primary Care Nurse Practitioner2019-09-09
Uropartners, LLC 10400 Southwest Hwy, Chicago Ridge, IL 60415-1367Durable Medical Equipment & Medical Supplies2024-03-04
Payton Robson Po Box 35, Chicago Ridge, IL 60415-0035Psychiatric/Mental Health Nurse Practitioner2025-05-30
John N Defranco 10400 Southwest Hwy, Chicago Ridge, IL 60415-1367Urology Physician2006-07-03
Brett Wayne Cox 10400 Southwest Hwy, Chicago Ridge, IL 60415-1367Radiation Oncology Physician2007-06-18
Greg Mierzwa 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426Physical Therapist2016-01-13
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Thao Phuong Le · Terry Phuong Le 301 S Okelly Ave, Elon, NC 27244-9382Family Medicine Physician2009-06-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.