DR. DAN CONG PHAN MD NPI 1689899601

NPI Information

  • NPI: 1689899601
  • Provider Name: DR. DAN CONG PHAN, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4301 W MARKHAM ST # 517
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 686-8000

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NPI Details

DR. Dan Cong Phan, MD is an anatomic pathology and clinical pathology pathology in Little Rock, AR with 22 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Dan Cong Phan, MD NPI is 1689899601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4301 W MARKHAM ST # 517
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 686-8000
Fax: (501) 526-5148

The NPI 1689899601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology58530ARIZONANo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyA105477CALIFORNIANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology49316TENNESSEENo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyE-8164ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DN065ZOTHERCALIFORNIAMEDICARE PTAN-DPMG
2GN065WOTHERCALIFORNIAMEDICARE PTAN-GEN
3DN065UOTHERCALIFORNIAMEDICARE PTAN-ROSEVILLE
4DN065XOTHERCALIFORNIAMEDICARE PTAN-MERCY
5DN065SOTHERCALIFORNIAMEDICARE PTAN-AUBURN
6DN065TOTHERCALIFORNIAMEDICARE PTAN-DAVIS
7DN065YOTHERCALIFORNIAMEDICARE PTAN-METH
8GN065VOTHERCALIFORNIAMEDICARE PTAN-MEM
91689899601MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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