PHILLIP MCKINLEY (NPI# 1053474833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053474833 |
| Entity Type | Individual |
| Full Name | PHILLIP MCKINLEY |
| Credential | M.D. |
| Practice Address |
2025 Frontis Plaza Blvd Ste 100 Winston Salem NC 27103-5663 |
| Mailing Address |
2025 Frontis Plaza Blvd Ste 100 Duke Eye Winston Salem Winston Salem NC 27103-5663 |
| Practice Telephone | 9196204467 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 20824 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033390463 | Phillip Gordon Mckinley | Emergency Medicine | 5219 Reynier Ave, Los Angeles, CA 90056-1018 | 2007-11-14 |
| Street Address |
2025 FRONTIS PLAZA BLVD STE 100 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023192911 | Frank Moya | Ophthalmology | 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 | 2006-10-25 |
| 1194804047 | Taras Semchyshyn | Ophthalmology | 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380874 | Margaret A Greven | Ophthalmology | Medical Center Blvd Dept of Ophthalmology, Winston Salem, NC 27157-3216 | 2011-05-10 |
| 1851531602 | Henry W Burnett, M.d., P.a. | Ophthalmology | 110 Oakwood Dr, Suite 380, Winston Salem, NC 27103-1957 | 2009-03-05 |
| 1770721565 | The Center for Sight, Pllc | Ophthalmology | 4964 University Pkwy Ste 105, Winston Salem, NC 27106-2800 | 2009-02-02 |
| 1922281385 | Chanda A. Griessel M.d., Pllc | Ophthalmology | 150 Kimel Park Dr, Suite 200, Winston Salem, NC 27103-6992 | 2007-12-07 |
| 1700097060 | Susanna S Ringeman | Ophthalmology | 2827 Lyndhurst Ave Ste 204, Winston Salem, NC 27103-4145 | 2007-05-25 |
| 1376682344 | Mark H Nelson Md Pa | Ophthalmology | 750 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7105 | 2007-02-06 |
| 1891831905 | Willard L Mccloud Jr. | Ophthalmology | 620 Dunleith Ave, Winston Salem, NC 27101-3374 | 2007-01-29 |
| 1023192911 | Frank Moya | Ophthalmology | 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 | 2006-10-25 |
| 1306856703 | Chanda Annette Griessel | Ophthalmology | 150 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6992 | 2006-08-08 |
| 1598729147 | Hawthorne Eye Associates, P.a. | Ophthalmology | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2006-04-12 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.