East Colonial Family Medical Center, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME87463 Issued in FL

Legal business name

EAST COLONIAL FAMILY MEDICAL CENTER, INC

Practice address

9464 E Colonial Dr
Orlando, FL 32817-4150

Phone

(407) 482-9788

Fax

(407) 482-7998

NPI assigned

Dec 7, 2010

Last updated

Oct 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thang C Pham, M.D.NPI 1336303346

Title

President

Phone

(407) 482-9788

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thang Pham, M.D.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1336303346
  Medicare reassignment Authorized official
• Phat Minh Tran, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1639755416
  NPD

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1144523531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9464 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174150",
            "telephone_number": "407-482-9788",
            "fax_number": "407-482-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9464 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174150",
            "telephone_number": "407-482-9788",
            "fax_number": "407-482-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COLONIAL FAMILY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THANG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-482-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME87463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4074827998",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "9464 E Colonial Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328174150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4074827998",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "9464 E Colonial Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328174150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel P Easley, LMT
• Ronald Eason, MD
• East Colonial Chiropractic (Jaffe Chiropractic & Wellness Center)
• East Colonial Chiropractic Office (jaffe chiropractic & wellness clinic)
• East Colonial Dental Group
• East Orange Endodontics
• East Orlando Audiology Hearing & Wellness (Ascent Audiology & Hearing)
• East Orlando Dental, PA
• East Orlando Family Medicine Associates PA
• East Orlando Health & Rehab Center Inc (AdventHealth Care Center Orlando East)

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.