Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marian Gaida Pham, NP

Individual provider Registered Nurse · NPI 1124615695

Marian Gaida Pham, NP is a Nurse Practitioner in Beavercreek, Ohio. Qualified in 2020, 6 years ago. Practices with Premier Health Specialists Inc, a 575-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone: (937) 395-6665
Fax: (937) 395-6668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 — (317) 963-1400

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71010705A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28191443A (IN)

Record details

NPI number1124615695
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Health Specialists Inc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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