JENNIFER L. PHAM M.D. – NPI #1245527043
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

JENNIFER PHAM is a physician located in MILWAUKEE, WI. NPPES has assigned the NPI number 1245527043 to JENNIFER PHAM on June 30, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 8 years ago on Jul 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER PHAM below.

NPI Profile for
JENNIFER L. PHAM

NPI Number
1245527043
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER L. PHAM
Credentials
M.D.
Primary location
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Phone: (414) 266-3360 Fax: (414) 266-3563
1 Other location(s):
1 Childrens Way # 512-12
Little Rock, AR 72202-3500
Phone: (501) 364-1100
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for JENNIFER PHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI1245527043
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
WI 69153
208000000X
- Pediatrics
NE 6601

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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