Vivien Doan Pham, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 100800 Issued in FL

Practice address

157 N Lakemont Ave
Winter Park, FL 32792-3214

Phone

(407) 644-6618

NPI assigned

Jun 15, 2007

Last updated

Mar 7, 2008By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vivien.pham.1@8042.direct.athenahealth.com

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.

• Lakemont Pediatrics

  • Pediatrics Physician
  • Winter Park, FL
  • NPI 1053793190
  Authorized official Same address or phone
• Health First Medical Group, LLC

  • General Practice Physician
  • Melbourne, FL
  • NPI 1750626495
  NPD (past)
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1427253012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 LOGANWOOD DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769049571",
            "telephone_number": "325-651-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923214",
            "telephone_number": "407-644-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VIVIEN",
        "middle_name": "DOAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 100800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3805159097-COMMERCIAL NUMBER",
            "identifier": "3805159097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pezdek, ARNP
• Maria Wells Pezzoli, PHARMD
• Jaclyn Pfingsten
• Hue Pham, PHARMD
• Lac Hong Pham, M.D.
• Chau-Ha Phan, PHARMD
• Susan Phelps, LCSW
• Philippians Management Co. (Senior Helpers)
• Stephanie E. Philips, MSW
• Jacob Eugene Phillips, PA-C

• Pediatrics Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.