| Thuylinh Ngoc Pham, MD | |
|
20300 E Valley View Pkwy, Independence, MO 64057-1672 | |
| (816) 478-5200 | |
| (816) 302-9939 |
| Full Name | Thuylinh Ngoc Pham |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 20300 E Valley View Pkwy, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245468081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 94-07216 (Kansas) | Secondary |
| 208000000X | Pediatrics | 2011000566 (Missouri) | Primary |
| Entity Name | The Childrens Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20050721001065 |
| Mailing Address | Practice Location Address |
|---|---|
| Thuylinh Ngoc Pham, MD 2401 Gillham Rd, Provider Enrollment Department, Kansas City, MO 64108-4619 Ph: (816) 234-3000 | Thuylinh Ngoc Pham, MD 20300 E Valley View Pkwy, Independence, MO 64057-1672 Ph: (816) 478-5200 |
Kristie A Baker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-222-9779 Fax: 816-312-8340 | |
Dr. Ambarish Jamgade, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20300 E Valley View Pkwy, Independence, MO 64057 Phone: 816-478-5200 | |
Prema Fancy D Souza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20300 E Valley View Pkwy, Independence, MO 64057 Phone: 816-478-5200 Fax: 816-302-9939 | |
Sheela Ananth, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17500 Medical Center Pkwy, Suite 5, Independence, MO 64057 Phone: 816-373-1142 Fax: 816-373-9222 | |
Amanda Montalbano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20300 E Valley View Pkwy, Children's Mercy Hospital, Independence, MO 64057 Phone: 816-478-5252 | |
Jamie D Rubin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20300 E Valley View Pkwy, Independence, MO 64057 Phone: 816-478-5200 |