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

Quynh Quoc Pham

Individual provider Physician Assistant · NPI 1902567936

Quynh Quoc Pham is a Physician Assistant in Fargo, North Dakota. Graduated from Eastern Virginia Medical School in 2022, 4 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Trained at
Eastern Virginia Medical School
Licensed in
ND
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3000 32nd Ave S
Fargo, ND 58103-6132
Phone: (701) 364-8000
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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 PAC0961 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902567936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 3, 2022
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address400 E 3rd St, Duluth, MN 55805-1951

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fargo