Joanne Pham, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

L8250 Issued in TX

Practice address

1600 W Business 380
Suite a
Decatur, TX 76234-3281

Phone

(940) 627-7997

Fax

(940) 627-7416

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Diem-Linh Thi Pham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1174589634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W BUSINESS 380",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343281",
            "telephone_number": "940-627-7997",
            "fax_number": "940-627-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W BUSINESS 380",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343281",
            "telephone_number": "940-627-7997",
            "fax_number": "940-627-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JOANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L8250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00194346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P2330",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIEM-LINH",
            "last_name": "PHAM",
            "middle_name": "THI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Payne, PTA
• Julie Ann Payne, DNP-A, CRNA
• Leandra Peacock Smith, FNP-C
• Peak Spine and Sports Medicine PLLC
• Marco Pena, CSFA
• Aji S Philip, BS, RN, APRN
• Kamden Phillips, ATC,LAT
• Vida June Phoenix, L.P.C.
• Physician Assistant Services of Texas
• Jan Ellen Pittard, OT

• All providers in Decatur, TX
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.