Philip Adam Pham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117268 Issued in FL

Practice address

12983 Southern Blvd Ste 205
Loxahatchee, FL 33470-9207

Phone

(561) 210-9495

NPI assigned

Apr 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Hendry County Hospital AuthorityGroup PAC ID 8022912435, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hendry County Hospital Authority

  dba Hendry Regional Physicians Group

  • Specialist
  • Clewiston, FL
  • NPI 1356360424
  Medicare reassignment Care Compare group
• Cardiac and Vascular Center LLC

  dba IVY Cardiovascular & Vein Center

  • Cardiovascular Disease Physician
  • Royal Palm Beach, FL
  • NPI 1962036491
  NPD
• Hendry County Hospital Authority

  dba Dr. James D. Forbes Family Care Center

  • Rural Health Clinic/Center
  • Clewiston, FL
  • NPI 1053331694
  NPD
• Hendry County Hospital Authority

  dba Hendry Regional Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Clewiston, FL
  • NPI 1336937408
  NPD
• Hendry County Hospital Authority

  dba Hendry Regional Convenient Care Center

  • Rural Health Clinic/Center
  • Labelle, FL
  • NPI 1588859623
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendry County Hospital Authority

  dba Hendry Regional Medical Center

  • Critical Access Hospital
  • Clewiston, FL
  • NPI 1215960315
  Care Compare affiliation

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1396433850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6556 EMERALD DUNES DR APT 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112752",
            "telephone_number": "727-688-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 205",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709207",
            "telephone_number": "561-210-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PHILIP",
        "middle_name": "ADAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Michael Perrigo, MSN-ARNP-PMHNP
• Cheyenne Aleese Perryman
• Personalized and Restorative Wellness PA (Prestige Internal Medicine)
• Peter R. Bendetson, M.D.
• Danielle Petrozelli, M.S.
• Alexander Omar Pierre-Louis
• Nadia Node Pierre, MD
• Pinnacle Family Health Solutions, LLC (Pinnacle Health Solutions)
• Annette Piszczatowski
• John Pnaife II, R.N.

• Physician Assistant in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.