Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285165407 Individual Practitioner Male Practitioner

Dr. Theodore Pham , DO

Pediatrics • Lincoln, NE

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Pham, DO is a registered healthcare professional specializing in Pediatrics in Lincoln, NE. Practice services are available at 3262 SALT CREEK CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3262 Salt Creek Cir

Lincoln, NE 685044761

Telephone 4024655600
Fax 4023276074
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lincoln, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
59 Specialists

Practicing in Lincoln, NE (396 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: 2023-06-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NE 2271

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0102205715

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

38 Associated Practitioners
NPI 1003924150

Doctor of Philosophy (Ph.D.)

Karina Elias , APRN

Nurse Practitioner - Pediatrics, Critical Care

NPI 1083042477

Advanced Practice Registered Nurse

NPI 1083691133

Doctor of Medicine (M.D.)

NPI 1083935522

Doctor of Medicine (M.D.)

NPI 1134375298

Doctor of Medicine (M.D.)

Brittany Liebsack

Psychologist

NPI 1144713355

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location June 27, 2023

Registered at 3262 SALT CREEK CIR, LINCOLN, NE 685044761 (Tel: 4024655600)

📍
Updated Business Mailing Address June 27, 2023

Registered at 3262 SALT CREEK CIR, LINCOLN, NE 685044761 (Tel: 4024655600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2022

Pediatrics (License #0102205715 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location July 16, 2020

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043 (Tel: 7133205022)

📍
Updated Business Mailing Address July 16, 2020

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2020

Pediatrics (License #0102205715 in VA)

NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2017

Registered at 450 CLARKSON AVE, BROOKLYN, NY 112032012 (Tel: (713) 320-5022)

📍
Updated Business Mailing Address June 20, 2017

Registered at 450 CLARKSON AVE, BROOKLYN, NY 112032012 (Tel: (713) 320-5022)

👤
Provider Name / Credentials Updated June 20, 2017

Recorded as THEODORE PHAM, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2017

Registered at 2601 OCEAN PKWY, BROOKLYN, NY 112357745 (Tel: 7133205022)

📍
Updated Business Mailing Address March 21, 2017

Registered at 4 REGENCY LN, DIX HILLS, NY 117464863 (Tel: 7133205022)

👤
Provider Name / Credentials Updated March 21, 2017

Recorded as THEODORE PHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 21, 2017

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: 1285165407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2017
Last Update: June 27, 2023
Sole Proprietor: Yes

Mailing Address

3262 Salt Creek Cir

Lincoln, NE 685044761

Phone: 4024655600

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.