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

Tom Pham

Individual provider Anesthesiologist Assistant · NPI 1922886605

Tom Pham is an Anesthesiology Assistant in Tallahassee, Florida. Qualified in 2023, 3 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone: (850) 431-1155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1922886605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 14, 2023
Mailing address951 Lone Feather Dr, Tallahassee, FL 32311-1235

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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