DR. RUSSELL E PHILLIPS (NPI# 1013085455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013085455 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL E PHILLIPS |
| Credential | M.D. |
| Practice Address |
100 E Lancaster Ave 415 Lankenau Medical Office Building South Wynnewood PA 19096-3450 |
| Practice Telephone | 6108965710 |
| Practice Fax Number | 6108961667 |
| Mailing Telephone | 6108965710 |
| Mailing Fax Number | 6108961667 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2012-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD015455E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0056423000 | 01 |
| DEPT OF LABOR, OWCP | 125370300 | 01 | |
| PA | HIGHMARK BLUE SHIELD | PH126779 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184844961 | Russell Phillips | Counselor | 711 Turnbull Ave, Altamonte Springs, FL 32701-6420 | 2007-04-26 |
| 1629041827 | Russell Phillips | Family Medicine | 171 N Denton Tap Rd, #200, Coppell, TX 75019-2915 | 2006-02-08 |
| 1134564867 | Russell Taylor Phillips | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2013-05-08 |
| 1013285071 | Russell Glenn Phillips | Hearing Instrument Specialist | 103 C. Michael Davenport Blvd., Suite 2, Frankfort, KY 40601 | 2011-12-06 |
| 1629282660 | Russell Wilbur Phillips | Dentist | 1625 K St Nw, Suite #1 Ll, Washington, DC 20006-1604 | 2007-05-09 |
| 1184777492 | Russell S Phillips | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2007-01-19 |
| 1225076599 | Russell S Phillips | Internal Medicine | 330 Brookline Avenue, Beth Israel Deaconess Medical Center, Boston, MA 02215-5491 | 2006-06-02 |
| Street Address |
100 E LANCASTER AVE 415 LANKENAU MEDICAL OFFICE BUILDING SOUTH |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755048 | Russell E Phillips Md LLC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 415, Wynnewood, PA 19096-3439 | 2019-02-01 |
| 1821385204 | Jacqueline Eve Nemec | Psychiatry & Neurology | 406 Millers Lane, Wynnewood, PA 19096-1008 | 2011-07-06 |
| 1881887115 | Russell E. Phillips, M.d., P.C. | Psychiatry & Neurology | 31 Lankenau Medical Bldg. West, 100 Lancaster Avenue, Wynnewood, PA 19096-3450 | 2007-08-21 |
| 1942405451 | Maura Dunfey | Psychiatry & Neurology | 300 E Lancaster Ave Ste 211, Wynnewood, PA 19096-2142 | 2007-06-15 |
| 1982735445 | Gabriel Pinski | Psychiatry & Neurology | 411 Witley Rd, Wynnewood, PA 19096-2424 | 2007-03-08 |
| 1619026341 | Bernard E Comber Md PC | Psychiatry & Neurology | Lankenau Medical Building, 100 Lancaster Avenue Suite 441, Wynnewood, PA 19096 | 2007-01-10 |
| 1851453203 | Frederick Fisher | Psychiatry & Neurology | 378 Penn Road, Wynnewood, PA 19096-1810 | 2006-12-14 |
| 1417015033 | Marilyn Rohrer Curran | Psychiatry & Neurology | 1124 Indian Creek Rd, Wynnewood, PA 19096 | 2006-12-05 |
| 1487768487 | Main Line Psychiatric Assoc. Ltd | Psychiatry & Neurology | 100 Lancaster Avenue, 441 Lankenau Medical Building, Wynnewood, PA 19096 | 2006-08-18 |
| 1437173994 | Judith Tan Navarro | Psychiatry & Neurology | 1448 Manoa Rd, Wynnewood, PA 19096-3502 | 2006-07-27 |
| Find all providers in WYNNEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.