National Provider Identifier

Phillip Benson Ham III, MD

Phillip Benson Ham III, MD is listed in the NPPES registry with a primary specialty of Pediatric Surgery Physician in Buffalo, NY and a listed phone number of (716) 323-6110.

NPI 1609130533Buffalo, NYPediatric Surgery Physician

Profile Overview

NPI
1609130533
Provider Type
Individual
Primary Specialty
Pediatric Surgery Physician
Enumeration Date
June 26, 2012
Last Updated
September 03, 2022

Practice Location

  • 818 Ellicott St
  • Buffalo, NY 14203-1021

Phone: (716) 323-6110

Mailing Address

  • 1001 Main St
  • Buffalo, NY 14203-1009

Specialties

  • Pediatric Surgery Physician (2086S0120X)
  • Surgery Physician (208600000X)

Endpoints

  • pham1@direct.Kaleidahealth.org

    Direct Messaging Address | Direct | Buffalo, NY 14203

    Kh Direct Address

Full Record
NPI
1609130533
Entity Type
Individual
Last Name
Ham
First Name
Phillip
Middle Name
Benson
Name Prefix
Dr.
Name Suffix
III
Credential
MD
Provider Other Last Name
Ham
Provider Other First Name
Ben
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
MD, MS
Provider Other Last Name Type Code
5
Mailing Street Address
1001 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Practice Street Address
818 Ellicott St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1021
Practice Country
US
Practice Phone
(716) 323-6110
Enumeration Date
June 26, 2012
Last Updated
September 03, 2022
Sex
Male
Sole Proprietor
No
Certification Date
September 03, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Surgery Physician (2086S0120X), Surgery Physician (208600000X)