Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Pham, PA-C

Individual provider Physician Assistant · NPI 1174318216

Jennifer Pham, PA-C is a Physician Assistant in Springfield, Massachusetts. Qualified in 2024, 2 years ago. Practices with Ear Nose and Throat Surgeons of Western New England LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Wason Ave Ste 100
Springfield, MA 01107-1179
Phone: (413) 732-7426
Fax: (833) 972-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101586 (MA)

Record details

NPI number1174318216
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ear Nose And Throat Surgeons Of Western New England Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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