QUY PHAM MD
NPI 1326897273
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is Quy Pham's NPI number?

The NPI number for Quy Pham is 1326897273. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Q: What is Quy Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Quy Pham was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2024PECOS Enrolled

4301 W MARKHAM ST # 837, LITTLE ROCK, AR 72205(501) 526-1876 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Quy Pham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUY PHAM MD (NPI 1326897273) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326897273

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameQUY PHAMCredential: MD

Location Address4301 W MARKHAM ST # 837Little Rock, AR 72205-7101

Mailing Address9404 Carrington WayFort Smith, AR 72903-7200 · (479) 285-0977

Phone(501) 526-1876

Sole ProprietorYes

Enumeration DateMay 14, 2024

NPPES CertifiedMay 14, 2024

✔ NPI 1326897273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

4301 W MARKHAM ST # 837, Little Rock, AR 72205

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Secondary Practice Locations 2

Location 11125 N College Ave # 100Fayetteville, AR 72703-1908 · Phone (479) 713-8310

Location 21 Childrens Way # 512-19ALittle Rock, AR 72202-3500 · Phone (501) 364-5115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quy Pham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTONIA BANNISTER

Student in an Organized Health Care Education/Training Program