NANCY J PHILLIPS (NPI# 1073527552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073527552 |
| Entity Type | Individual |
| Full Name | NANCY J PHILLIPS |
| Credential | MD |
| Practice Address |
1402 S Grand St Louis MO 63110 |
| Mailing Address |
3691 Rutger Ave Provider Enrollment St Louis MO 63110 |
| Practice Telephone | 3145778693 |
| Practice Fax Number | 3142685478 |
| Mailing Telephone | 3149774440 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
R8H53 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1770097842 | Nancy Phillips | Naprapath | 2019 Galisteo St Ste M5, Santa Fe, NM 87505-2106 | 2017-11-27 |
| 1982029849 | Nancy E. Phillips | Dentist | 428 E College Ave, Tallahassee, FL 32301-1524 | 2014-02-28 |
| 1083931018 | Nancy L. Phillips | Counselor | 1692 S Newman Rd, Lake Orion, MI 48362-2247 | 2010-04-30 |
| 1386657237 | Nancy Lyn Phillips | Pediatrics | 3701 W Northwest Hwy Ste 112, Dallas, TX 75220-4900 | 2006-08-14 |
| 1336157247 | Nancy Jean Phillips | Social Worker | 3 Ohara Dr, Norwich, NY 13815-2046 | 2006-08-04 |
| 1689943060 | Nancy Phillips | Pharmacist | 1602 Main St, Billings, MT 59105-4038 | 2011-12-14 |
| 1417180076 | Nancy Elanore Phillips | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2009-08-31 |
| 1396982237 | Nancy Jane Phillips | Nurse Practitioner | 600 N Main St, Ste 200, Mount Vernon, MO 65712-1004 | 2009-01-14 |
| 1083868210 | Nancy Katharine Phillips | Counselor | 500 W Cummings Park, Ste 3900, Woburn, MA 01801-6503 | 2008-11-14 |
| Street Address |
1402 S GRAND |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548280969 | Leonard E Grosso | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-07-20 |
| 1760591325 | Michael A Graham | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-08-29 |
| 1902817562 | Christine M Janney | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-08-10 |
| 1366456840 | Edward Stephen Bolesta | Pathology | 1402 S Grand, St Louis, MO 63104 | 2006-07-28 |
| 1437172616 | Richard G Hoover | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902817562 | Christine M Janney | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780182915 | Richard L Payne | Pathology | 7 Dunleith Dr, Saint Louis, MO 63124-1895 | 2018-01-23 |
| 1518389261 | Ralph Paul Mennemeyer | Pathology | 145 N Roby Farm Rd, Rocheport, MO 65279-9437 | 2014-01-15 |
| 1205056421 | Grant R Kolar | Pathology | 660 S. Euclid, Box 8118, Saint Louis, MO 63108 | 2007-04-27 |
| 1154447993 | Gustavo Alejandro Alvarez-paiva | Pathology | 121 Saint Lukes Center Dr Ste 406, Chesterfield, MO 63017 | 2007-03-22 |
| 1386723070 | Roger Alan Reichert | Pathology | 411 Rolling View Rd, Creve Coeur, MO 63141-8641 | 2006-11-03 |
| 1831188002 | Larry D Lawson | Pathology | 700 Nw Hunter Dr, Blue Springs, MO 64015-7730 | 2005-10-19 |
| 1326037656 | Mehdi Zarabi | Pathology | 3601 Ne Ralph Powell Rd Ste A, Lees Summit, MO 64064 | 2005-10-19 |
| 1598769986 | Donald Craig Allred | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2005-06-13 |
| 1417574831 | Kasey Kreutz | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-07-01 |
| 1770100679 | Amanda Oi-yun Wong | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.