Joanne Pham (NPI# 1174589634, PAC ID# 3577534221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1174589634 |
| PAC ID by PECOS | 3577534221 |
| Professional Enrollment ID | I20040811001203 |
| Full Name | Joanne Pham |
| Organization Legal Name | ENT AND ALLERGY CLINIC PA |
| Address |
1600 W Us Business 380 Suite A Decatur TX 76234-3271 |
| Phone Number | 9406267997 |
| Gender | F |
| Credential | MD |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5395716039 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 | 9406267997 | ENT AND ALLERGY CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ENT AND ALLERGY CLINIC PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Mistic | Qualified Audiologist | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Street Address |
1600 W US BUSINESS 380 SUITE A |
| City | DECATUR |
| State | TX |
| Zip | 76234-3271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Mistic | Qualified Audiologist | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Jordan | Clinical Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | |
| Tad Billmire | Optometry | 104 S Washburn St, Decatur, TX 76234-1608 | |
| Edward H Fries | Optometry | 303 S Washburn St, Dba Decatur Eye Center, Decatur, TX 76234-1633 | |
| Ronald W Westbrook | Chiropractic | 1700 W Business, Suite 380, Decatur, TX 76234-3232 | |
| Sanjoy Sundaresan | Pain Management | 1100 W Business, 380 Unit F, Decatur, TX 76234-3268 | |
| Randall W Mckenna | Orthopedic Surgery | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Ricky Lynn Childers | Podiatry | North Central Texas Foot and Ankle, LLC | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Troy B Chandler | Physician Assistant | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Christian B Helm | Physical Medicine and Rehabilitation | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 | |
| Brad Alan Matlock | Physical Therapy | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Find all physicians in zip 76234 | |||
| City | DECATUR |
| Zip Code | 76234 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | DECATUR + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Joanne Pham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.