Active NPI
Thuy Thanh Pham, M.D.
- Pediatrics Physician
- New Port Richey, FL
National Provider Identifier
1740280189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME72415
- Practice address
- 2044 Trinity Oaks Blvd
Ste 235
New Port Richey, FL 34655-3908 - Phone
- (727) 375-5437
- Fax
- (727) 375-0502
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME72415 | FL | Primary |
Addresses
Primary practice location
2044 Trinity Oaks Blvd
Ste 235
New Port Richey, FL 34655-3908
Mailing address
2044 Trinity Oaks Blvd
Ste 235
New Port Richey, FL 34655-3908
Phone (727) 375-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251517200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72415 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phamhasell PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Pediatric Specialists Medical Group
- Pediatrics Physician
- Trinity, FL
- NPI 1609992288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1740280189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2044 TRINITY OAKS BLVD",
"address_2": "STE 235",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346553908",
"telephone_number": "727-375-5437",
"fax_number": "727-375-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2044 TRINITY OAKS BLVD",
"address_2": "STE 235",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346553908",
"telephone_number": "727-375-5437",
"fax_number": "727-375-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THUY",
"middle_name": "THANH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME72415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251517200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
- Rita Marie Chenoweth Peterson, LCSW
- David Petrik, DDS
- Patricia M Petro, MS LMHC
- Samuel Anthony Pettina, D.O.
- Diana Pfeuffer, BS
- Pharmacy Corporation of America (Blake Pharmacy)
- Pharmacy Corporation of America (Blake Pharmacy)
- Pharmacy Corporation of America (Blake Pharmacy)
- Rochelle Schaffer Philipps
- Camille Anne Phillips
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.