Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134714629 Individual Practitioner Female Practitioner

Dr. Camvy Victoria Phan , DO

Pediatrics • Eielson Afb, AK

Professional Overview & Biography Verified Profile Summary

Dr. Camvy Phan, DO is a registered healthcare professional specializing in Pediatrics in Eielson Afb, AK. Practice services are available at 2630 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2630 Central Ave

Eielson Afb, AK 997022301

Telephone 9073776455
Associated Practice Facility / Clinic
🏢 354th Medgrp-Eielson Facility NPI 1902867229

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eielson Afb, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Eielson Afb, AK (168 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0102207373

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1437505963

Doctor of Osteopathic Medicine (D.O.)

Amy Vagedes

Pediatrics

NPI 1699193318

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2025

Pediatrics (License #0102207373 in VA)

📍
Updated Practice Location June 25, 2024

Registered at 2630 CENTRAL AVE, EIELSON AFB, AK 997022301 (Tel: 9073776455)

📍
Updated Business Mailing Address June 25, 2024

Registered at 2630 CENTRAL AVE, EIELSON AFB, AK 997022301

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Military Health Care Provider

NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

📍
Updated Business Mailing Address March 05, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

👤
Provider Name / Credentials Updated March 05, 2021

Recorded as CAMVY PHAN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134714629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: May 14, 2025
Sole Proprietor: No

Mailing Address

2630 Central Ave

Eielson Afb, AK 997022301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.