Organization Active NPI

Pham General Surgery, P.C.

  • Surgery Physician
  • Jesup, GA
National Provider Identifier
1043696784
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
66884 Issued in GA
Legal business name
PHAM GENERAL SURGERY, P.C.
Practice address
144 W Cherry St
Jesup, GA 31545-1309
Phone
(216) 832-8071
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Quynhanh Hoang Thi Pham, M.D.
Title
President
Phone
(216) 832-8071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 66884 GA Primary

Addresses

Primary practice location

144 W Cherry St
Jesup, GA 31545-1309

Mailing address

PO Box 1469
Jesup, GA 31598-6469
Phone (216) 832-8071

National Provider Directory

National Provider Directory

Locations

144 W Cherry St
Jesup, GA 31545
Phone (216) 832-8071

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1043696784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1469",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315986469",
            "telephone_number": "216-832-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W CHERRY ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451309",
            "telephone_number": "216-832-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM GENERAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "QUYNHANH",
        "authorized_official_middle_name": "HOANG THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-832-8071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "66884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.