SAMUEL P PHILLIPS


Address: 7710 Mercy Rd, Suite 224, Omaha, NE 68124-2372
Phone: 4023998550

SAMUEL P PHILLIPS (NPI# 1033150610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033150610
Entity Type Individual
Full Name SAMUEL P PHILLIPS
Credential M.D.
Practice Address 7710 Mercy Rd
Suite 224
Omaha
NE 68124-2372
Mailing Address 17030 Lakeside Hills Plz
Suite 200
Omaha
NE 68130-2396
Practice Telephone 4023998550
Practice Fax Number 4023998455
Mailing Telephone 4023998550
Mailing Fax Number 4023998455
Enumeration Date 2006-06-08
Last Update Date 2011-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 19522 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE 47063010113 05
IA 1576975 05
NE BCBS NEBRASKA 30680 01

Other Providers SAMUEL PHILLIPS

NPI Name Taxonomy Address Enumeration
1144496118 Samuel Everett Phillips Iv Counselor 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 2008-04-30

Office Location

Street Address 7710 MERCY RD
SUITE 224
City OMAHA
State NE
Zip Code 68124-2372

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555753 Gernon A Longo Urology 7710 Mercy Rd, Ste 608, Omaha, NE 68124-2346 2005-06-01
1396342739 Ashley N Klepinger Nurse Practitioner 7710 Mercy Rd, Omaha, NE 68124-2372 2020-10-08
1437768769 Faith Opeyemi Abodunrin Internal Medicine 7710 Mercy Rd, Omaha, NE 68124-2372 2020-07-22
1841817087 Abdelrazeg Abubaker A Houssein Internal Medicine 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124-2353 2020-07-04
1538780382 Amarjyot Kaur Randhawa Student in an Organized Health Care Education/Training Program 7710 Mercy Rd, Omaha, NE 68124-2372 2020-05-04
1467004374 Moeed Ahmed Internal Medicine 7710 Mercy Rd, Omaha, NE 68124-2372 2019-07-10
1609434976 Erica F Fritz Nurse Practitioner 7710 Mercy Rd, Omaha, NE 68124-2372 2019-06-03
1053880732 Beth Mckelvey Pharmacist 7710 Mercy Rd, Omaha, NE 68124-2372 2018-11-25
1205314036 Abdallah Qasim Internal Medicine 7710 Mercy Rd, Suite 202- Cu Department of Internal Medicine, Omaha, NE 68124 2018-08-02
1649766130 Taylor Soon-sutton Urology 7710 Mercy Rd, Omaha, NE 68124-2372 2018-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891312443 Stefany Malanka Family Medicine 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 2020-06-30
1902468937 Keith William Vrbicky Jr. Obstetrics & Gynecology 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 2019-06-29
1699255869 Nicholas Williams Psychiatry & Neurology 7701 Mercy Road, Suite 601, Omaha, NE 68124 2018-08-17
1801315197 Sweet Dreams Anesthesia Clinic/Center 1755 Ridgewood Ave, Omaha, NE 68124 2017-09-18
1295257657 Margaret R Hodges Dietitian, Registered 8715 Oak Street, Omaha, NE 68124 2017-07-07
1346761061 Meredith Shama Obstetrics & Gynecology 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 2017-07-03
1578010542 Mary Ellen Royer Counselor 8715 Oak St., Omaha, NE 68124 2016-09-07
1750759361 Pain Centers of The Midlands LLC Anesthesiology 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 2015-09-14
1184005738 Sharon D Jackson Counselor 8031 West Center Rd Ste 207, Omaha, NE 68124 2015-06-09
1841631215 Nebraska Organ Recovery System Organ Procurement Organization 8502 West Center Road, Omaha, NE 68124 2013-07-12
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285836049 Daniel Firestone Orthopaedic Surgery 2727 S 144th St Ste 142, Omaha, NE 68144-5225 2007-06-04
1740333608 Midwest Orthopedics PC Orthopaedic Surgery 6829 N 72 St, Suite 7500, Omaha, NE 68122-1790 2007-01-22
1255347456 Randall D Neumann Orthopaedic Surgery 2725 South 144th St, Suite 212, Omaha, NE 68144 2006-07-31
1023050978 Mark E Dietrich Orthopaedic Surgery 981080 Nebraska Medical Ctr, Omaha, NE 68198-1080 2006-06-12
1316995665 Edward Vincent Fehringer Orthopaedic Surgery 4014 Leavenworth St, Omaha, NE 68105-1053 2006-05-05
1578552063 Bryan D Bredthauer Orthopaedic Surgery 11819 Miracle Hills Dr, Suite 203, Omaha, NE 68154-4428 2005-10-17
1346243755 Howard Randal Woodward Orthopaedic Surgery 13616 California St, Ste 100, Omaha, NE 68154-5335 2005-05-31
1497370407 Dylan Fischer Orthopaedic Surgery 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 2020-06-15
1619592888 Carla Strohhofer Orthopaedic Surgery 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 2020-06-12
1649895228 Keagan Timothy Gertz Orthopaedic Surgery 981150 Nebraska Medical Ctr, Omaha, NE 68198-3280 2020-06-10
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City OMAHA
Zip Code 68124

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Dataset Information

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.

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