DR. MAIKHOI T PHAM (NPI# 1811273600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811273600 |
| Entity Type | Individual |
| Full Name | DR. MAIKHOI T PHAM |
| Credential | DPM, MBA |
| Practice Address |
538 Se Port St Lucie Blvd Port St Lucie FL 34984-5108 |
| Practice Telephone | 7728715900 |
| Practice Fax Number | 7728711197 |
| Mailing Telephone | 7728715900 |
| Mailing Fax Number | 7728711197 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2020-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 2029 | TX | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3506 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 9426400 | 05 | |
| TX | MEDICARE TRA | P01144991 | 01 |
| TX | 318118201 | 05 | |
| TX | 318118202 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7730 Boynton Beach Blvd, Boynton Beach, FL 334376155 | 5613692199 | 5619351582 |
| Street Address |
538 SE PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34984-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629047287 | Ruth Ellen Wermont | Physician Assistant | 538 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5108 | 2006-03-16 |
| 1114321403 | Total Md Orthopedics & Neurosurgery | Specialist | 538 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5108 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426053 | Alyssa Raudebaugh-jackson | Behavior Technician | 247 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2020-01-14 |
| 1033680830 | Aaron Schamback, Dmd, Pa | Dentist | 155 Sw Port Saint Lucie Blvd, Suite #101, Port Saint Lucie, FL 34984 | 2018-12-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1205353091 | Rachelle Renae Tetreault | Acupuncturist | 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 | 2017-08-23 |
| 1598141913 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2015-08-07 |
| 1518201136 | Kerline Dimanche | Physical Therapy Assistant | 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 | 2012-11-20 |
| 1063776979 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 | 2012-06-26 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1003179003 | Judith Wray | Pharmacist | 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 | 2012-06-25 |
| 1285925446 | Cindy Leahy | Specialist | 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 | 2011-04-22 |
| Find all providers in zip 34984 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639481765 | Michael Doss | Podiatrist | 1696 Se Hillmoor Dr Ste A, Port St Lucie, FL 34952-7699 | 2010-07-06 |
| 1063459675 | Son Shine Foot and Ankle Center Inc | Podiatrist | 1405 Se Goldtree Dr, Suite B, Port St Lucie, FL 34952-7563 | 2006-06-01 |
| 1851393599 | Douglas H. Kahn | Podiatrist | 1696 Se Hillmoor Dr # Td, Ste B, Port St Lucie, FL 34952-7699 | 2005-08-12 |
| 1881127348 | Josh Sebag | Podiatrist | 7710 S Us Highway 1, Port St Lucie, FL 34952-2320 | 2017-04-11 |
| 1871943407 | Natalia Cardona | Podiatrist | 1846 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2016-06-14 |
| 1063861979 | Kristopher P Jerry | Podiatrist | 1846 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2016-06-10 |
| 1043438831 | Michael A Garvin Dpm Pa | Podiatrist | 1791 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5479 | 2007-04-24 |
| 1164649117 | Michael A Garvin Dpm Pa | Podiatrist | 150 Sw Chamber Ct, Suite 101, Port St Lucie, FL 34986-3413 | 2007-04-19 |
| 1013957166 | Michael Allen Garvin | Podiatrist | 1791 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5479 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34984 |
Please comment or provide details below to improve the information on DR. MAIKHOI T PHAM.
| 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.