DR. TUAN HOAI PHAM (NPI# 1023080942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023080942 |
Entity Type | Individual |
Full Name | DR. TUAN HOAI PHAM |
Credential | M.D., PHD |
Practice Address |
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 |
Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
Practice Telephone | 4076507000 |
Practice Fax Number | 4076507124 |
Mailing Telephone | 9046974100 |
Mailing Fax Number | 9046975102 |
Enumeration Date | 2006-02-03 |
Last Update Date | 2019-05-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | ME107945 | FL | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 45822 | MN | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
ME107945 | FL | Allopathic & Osteopathic Physicians |
N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
41418 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 0031991-00 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447785670 | Tuan Anh Pham | Student in an Organized Health Care Education/Training Program | 3400 E Frank Phillips Blvd Ste 502, Bartlesville, OK 74006-2441 | 2017-04-25 |
1467643833 | Tuan Quoc Pham | Dentist | 4300 Fairmont Pkwy, Suite C, Pasadena, TX 77504-3306 | 2007-08-09 |
1619170818 | Tuan Duc Pham | Dentist | 24541 Pacific Park Dr Ste 240, Aliso Viejo, CA 92656-3050 | 2007-06-06 |
1942251905 | Tuan Anh Pham | Physical Therapist | 9191 Westminster Ave, Suite 202, Garden Grove, CA 92844-2751 | 2006-05-15 |
1891350492 | Tuan Pham | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2019-05-08 |
1891258943 | Tuan Anh Pham | Pharmacist | 1929 Preston Rd, Plano, TX 75093-5102 | 2019-04-07 |
1275918971 | Tuan Pham | Pharmacist | 9801 Brook Rd, Glen Allen, VA 23059-4530 | 2015-07-23 |
1336520170 | Tuan Pham | Dentist | 224 Haili St, Bldg B, Hilo, HI 96720-2975 | 2015-06-17 |
1467798181 | Tuan A Pham | Pharmacist | 4101 Greenbriar St., Ste 235, Houston, TX 77098 | 2012-12-28 |
1841523230 | Tuan Thanh Pham | Student in an Organized Health Care Education/Training Program | 393 Blossom Hill Rd, Suite 201, San Jose, CA 95123-1652 | 2009-09-16 |
Street Address |
1324 LAKELAND HILLS BLVD |
City | LAKELAND |
State | FL |
Zip Code | 33805-4543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
1144821059 | Jennifer Mclaughlin | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-11-06 |
1861092595 | Hortense Marcia Watson | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-10-30 |
1073129953 | Lilia Yakubov | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-09-16 |
1093340374 | Rashika Battle | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-07 |
1871128363 | Maria Lana Barnes | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-05 |
1710519129 | Joshua Parker Thompson | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-02-04 |
1932741683 | Katie Elizabeth Deines | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-15 |
1700428968 | Jasmine Nazirbage | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-09 |
1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
Find all providers in zip 33805 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922649367 | A Helping Hands Physicians Group LLC | Surgery | 307 Willowbay Ridge St, Sanford, FL 32771-6702 | 2019-10-07 |
1700051208 | Chad Michael Thorson | Surgery | 1120 Nw 14th St Ste 450j, Miami, FL 33136-2107 | 2008-04-25 |
1821191289 | Oliver B Lao | Surgery | 1150 N 35th Ave Ste 555, Hollywood, FL 33021-5431 | 2006-09-07 |
1962512061 | South Florida Pediatric Surgeons Pa | Surgery | 300 N.w. 70th Avenue, Suite 202, Ft. Lauderdale, FL 33317-2384 | 2006-08-30 |
1962517219 | Henry L Chang | Surgery | 601 5th St S Ste 511, St Petersburg, FL 33701-4804 | 2006-08-19 |
1548292915 | John Patrick Coughlin | Surgery | 444 Lucerne Ave, Tampa, FL 33606-3839 | 2006-07-07 |
1235176439 | Charles J Smithers | Surgery | 601 5th St S Ste 306, St Petersburg, FL 33701-4804 | 2006-05-31 |
1669426920 | Donald Plumley | Surgery | 1720 S Orange Ave Ste 500, Orlando, FL 32806-2967 | 2006-05-20 |
1568415115 | Children's Surgical Associates | Surgery | 1814 Lucerne Ter, Suite A, Orlando, FL 32806-2949 | 2006-05-17 |
1922081363 | Carmen T Ramos Irizarry | Surgery | 2600 Immokalee Rd, Naples, FL 34110-1424 | 2005-11-21 |
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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.