Jessica Pham
NPI 1417816505ActiveIndividual· Anesthesiologist Assistant· Waco, TX
Anesthesiologist Assistant with Scott and White Clinic, practicing in Waco, Texas. Enrolled in Medicare as practitioner - anesthesiology assistant. Lists Baylor Scott & White Medical Center Hillcrest as a hospital affiliation.
Overview
| NPI | 1417816505 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 15, 2026 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 789790902 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (TX) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliation
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