JOANNE PHAM (NPI# 1174589634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174589634 |
| Entity Type | Individual |
| Full Name | JOANNE PHAM |
| Other Name | DIEM-LINH THI PHAM |
| Credential | MD |
| Practice Address |
1600 W Business 380 Suite A Decatur TX 76234-3281 |
| Practice Telephone | 9406277997 |
| Practice Fax Number | 9406277416 |
| Mailing Telephone | 9406277997 |
| Mailing Fax Number | 9406277416 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | L8250 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD | P00194346 | 01 |
| TX | 1669608 | 05 | |
| TX | BCBS | 8P2330 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407177231 | Joanne H. Pham | Pharmacist | 7859 Firestone Blvd, Downey, CA 90241-4220 | 2010-06-16 |
| 1114161478 | Joanne Pham | Occupational Therapist | 1660 S Ortonville Rd, Ortonville, MI 48462-8819 | 2009-04-29 |
| Street Address |
1600 W BUSINESS 380 SUITE A |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578827986 | Julie Catherine Mistic | Audiologist | 1600 W Business 380, Suite A, Decatur, TX 76234-3270 | 2012-06-29 |
| 1477519577 | Ent and Allergy Clinic Pa | Otolaryngology | 1600 W Business 380, Suite A, Decatur, TX 76234-3281 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679720726 | Waymond Jay Pettit | Otolaryngology | 3620 S Taylor Rd, Decatur, IL 62521-9015 | 2008-08-20 |
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1851356083 | Willis P Callins | Otolaryngology | 4288 Memorial Dr, Ste D, Decatur, GA 30032-1229 | 2006-04-19 |
| 1265413124 | Sage Kinney Copeland | Otolaryngology | 1218 13th Ave Se, Decatur, AL 35601-4307 | 2005-11-08 |
| 1275531907 | Jenny Christine Kim | Otolaryngology | 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 | 2005-07-07 |
| 1275857542 | Shivan H Amin | Otolaryngology | 2675 N Decatur Rd, Ste 707, Decatur, GA 30033-6131 | 2010-03-16 |
| 1568646842 | Jeffrey Michael Ulis | Otolaryngology | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2007-12-22 |
| 1538254727 | Charles R. Potter, M.d., L.L.C. | Otolaryngology | 1770 E Lake Shore Dr, Suite 306, Decatur, IL 62521-3832 | 2006-10-04 |
| 1760597363 | Michelle Marie Cullen | Otolaryngology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-08-21 |
| 1528026580 | Terence R Woods | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.