Connie Pham, M.D.,P.a.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

H8321 Issued in TX

Legal business name

CONNIE PHAM, M.D.,P.A.

Practice address

2118 Scenic Dr
Georgetown, TX 78626-7728

Phone

(512) 863-5678

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By 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. Connie L. Pham, M.D.

Title

Doctor/Owner

Phone

51288635678

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22999/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1659558195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267728",
            "telephone_number": "512-863-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267728",
            "telephone_number": "512-863-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE PHAM, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "51288635678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "H8321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent Medicine (Family Medicine) Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Adolescent Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.