John-Paul Pham

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME107417 Issued in FL

Legal business name

JOHN-PAUL PHAM

Practice address

4141 Southpoint Drive East
Suite D
Jacksonville, FL 32216

Phone

(904) 513-3179

Fax

(904) 337-1641

NPI assigned

Aug 22, 2018

Last updated

Sep 13, 2019By 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. John-Paul Pham, MDNPI 1841491503

Title

M.D - Owner

Phone

(904) 513-3179

Specialties & licenses 1

Addresses

Tax ID family

John-Paul Pham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John-Paul Pham

  • Interventional Cardiology Physician
  • Jacksonville, FL
  • NPI 1881197044
  NPD tax ID

Locations

Practitioners 1

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.

• John-Paul Pham, MD

  • Interventional Cardiology Physician
  • Jacksonville, FL
  • NPI 1841491503
  NPD (past) Authorized official

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1154802833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SOUTHPOINT DR E STE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168061",
            "telephone_number": "904-513-3179",
            "fax_number": "904-337-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SOUTHPOINT DRIVE EAST",
            "address_2": "SUITE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-513-3179",
            "fax_number": "904-337-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN-PAUL PHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOHN-PAUL",
        "authorized_official_title_or_position": "M.D - OWNER",
        "authorized_official_telephone_number": "904-513-3179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME107417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Goetze Physical Therapy, Inc
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• John Morello MD (Atlantic Boulevard Dermatology)
• John S Boggs MD PA
• John-Paul Pham
• Bina Rebecca John, DNP-FNP
• Deborah John, OTR/L
• Kayla John
• Leann Elizabeth John, MS, RD, LDN

• Interventional Cardiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.