Sean Pham
Student in an Organized Health Care Education/Training Program

Address: 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500
Phone: 8009503149

Sean Pham (NPI# 1891054938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1891054938
Entity Type Individual
Full Name Sean Pham
Credential M.D.
Gender Male
Practice Address 1314 Peters Creek Rd Nw
Roanoke
VA 24017-2500
Practice Telephone 8009503149
Mailing Address 1314 Peters Creek Rd Nw
Roanoke
VA 24017-2500
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2012-05-09
Last Update Date 2012-05-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care VA

Other Providers SEAN PHAM

NPI Name Taxonomy Address Enumeration
1003138686 Sean Pham Chiropractor 603 Washington Ave, Philadelphia, PA 19147-4825 2010-02-23
1437462264 Sean Tunghuy Pham Physical Therapist 8341 Westminster Blvd, Suite 201, Westminster, CA 92683-8337 2010-07-21

Physician Overview

NPI 1891054938
PAC ID by PECOS 4789818816
Professional Enrollment ID I20151229000592
Full Name Sean Pham
Organization Legal Name INOVA PHYSICIAN PARTNERS INC
Phone Number 7034351223
Gender M
Graduation Year 2007
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 2466581772
Number of Group Practice Members 91
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490040 INOVA ALEXANDRIA HOSPITAL

Office Location

Street Address 1314 PETERS CREEK RD NW
City ROANOKE
State VA
Zip Code 24017-2500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275532921 David S. Gregory Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2005-07-15
1134538663 Laura Daniels Psychologist 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2014-08-08
1851739825 Allen Robertson Todd Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2013-06-11
1881031839 Kristin Anne Liebrecht Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2013-05-31
1053755298 Suman Deep Matiana Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2013-04-18
1386901932 Ariel Capili Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017 2012-04-20
1467723726 Randal L Swatzyna Physician Assistant 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2012-01-19
1447538368 Eugene A. Bondarev Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2011-07-26
1700177078 Niranjana Cohen Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2011-04-21
1982903381 Padmaja Balaji Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2011-03-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083132450 Kuumba Community Health & Wellness Center, Inc. Pharmacy 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 2017-09-06
1467880484 Mitzi Cotton Social Worker 2021 Dansbury Drive, Roanoke, VA 24017 2013-10-30
1598002818 Stacey Queen Graham Occupational Therapist 4550 Shenadoah Ave, Roanoke, VA 24017 2013-01-07
1366760506 Tammy L Tomlinson Physical Therapist 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 2010-05-12
1588817712 Delphine Anita Childress Registered Nurse 2111 Temple Drive Nw, Roanoke, VA 24017 2008-10-31
1447471933 Cathy Lucas Physical Therapy Assistant 4550 Shenandoah Ave, Roanoke, VA 24017 2007-05-01
1134214968 Planned Parenthood South Atlantic Clinic/Center 2207 Peters Creek Rd Nw, Roanoke, VA 24017 2006-10-04
1427027341 Goodwill Industries of The Valleys - Roanoke Day Training, Developmentally Disabled Services 2502 Melrose Avenue Nw, Roanoke, VA 24017 2006-03-14
1568872059 Beryl Kompancaril Student in an Organized Health Care Education/Training Program 1314 Peters Creek Road, Roanoke, VA 24017 2014-05-06
1649528381 Lisa Saunders Student in an Organized Health Care Education/Training Program 1314 Peters Creek Road, Roanoke, VA 24017 2012-08-28
Find all providers in zip 24017

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255803359 Hwal Lee Student in an Organized Health Care Education/Training Program 2329 Moir St Ne # B, Roanoke, VA 24012-6527 2018-12-30
1235629239 Sanjeeb Sudarshan Bhandari Student in an Organized Health Care Education/Training Program 1906 Bellview Ave Se, Roanoke, VA 24014 2018-05-15
1215433842 Linsey Clarke Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Avenue, Roanoke, VA 24014 2018-04-03
1437655347 Laua Lea Love Student in an Organized Health Care Education/Training Program 3517 Morning Dove Rd, Roanoke, VA 24018-5011 2018-04-01
1679079685 Madhav Patel Student in an Organized Health Care Education/Training Program 1906 Belleview Ave Se Rm 316, Roanoke, VA 24014-1838 2018-03-30
1790212256 Pouya Mafi Student in an Organized Health Care Education/Training Program 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 2017-05-16
1821442666 Kelly Powell Student in an Organized Health Care Education/Training Program 416 Washington Ave Sw Apt 4, Roanoke, VA 24016-4247 2016-04-18
1063866986 Daniel Todd Rosenblat Student in an Organized Health Care Education/Training Program 1906 Belleview Ave Se Rm 301, Roanoke, VA 24014-1838 2016-04-18
1659737005 Ali Burns Student in an Organized Health Care Education/Training Program 5144 Carter Grove Cir, Roanoke, VA 24012-8030 2016-01-14
1548649858 Andrew James Bouland Student in an Organized Health Care Education/Training Program 1906 Belleview Ave. Se, Carilion Roanoke Memorial Emergency Medicine Administra, Roanoke, VA 24014 2015-05-20
Find all providers in ROANOKE

Competitor

Search similar providers

City ROANOKE
Zip Code 24017

Improve Information

Please comment or provide details below to improve the information on Sean Pham.

Dataset Information

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.

Trending Searches