ANH NGOC PHAM PA
NPI 1972864940
Physician Assistant - Medical in Fort Campbell, KY
About Anh Ngoc Pham Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANH NGOC PHAM PA (NPI 1972864940) is an individual medical provider in Fort Campbell, Kentucky, licensed in Virginia (0110003873) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anh Ngoc Pham Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anh Pham's NPI number?
The NPI number for Anh Pham is 1972864940. It was assigned to this individual provider in the NPPES registry on June 6, 2012.
Where is Anh Pham located?
Anh Pham practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (271) 798-8131.
What is Anh Pham's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Anh Pham enrolled in Medicare?
Yes. Anh Pham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Anh Pham was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Anh Ngoc Pham, PA · NPI 1972864940
Medical physician in Fort Campbell, Kentucky. Individual provider, active in the CMS NPPES registry since June 6, 2012.
## Identity
- **NPI:** 1972864940 (Entity type: Individual)
- **Enumerated:** June 6, 2012
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 0110003873 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 JOEL DR, Fort Campbell, KY 42223-5318
- **Phone:** (271) 798-8131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972864940) · Data from the CMS NPPES public registry.