CHARLES EDWARD PHILLIPS (NPI# 1134187230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134187230 |
| Entity Type | Individual |
| Full Name | CHARLES EDWARD PHILLIPS |
| Credential | MD |
| Practice Address |
2035 Professional Ctr Dr Ste C Orange Park FL 32073 |
| Practice Telephone | 9042720384 |
| Practice Fax Number | 9042726748 |
| Mailing Telephone | 9042720384 |
| Mailing Fax Number | 9042726748 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME32937 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 037423700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703147 | Charles Vance Phillips Iv | Massage Therapist | 25 Cherokee Blvd Ste C, Chattanooga, TN 37405-3838 | 2017-11-08 |
| 1598064636 | Charles Phillips | Family Medicine | 6045 Carlisle Ln, 6045 Carlisle Ln, Alpharetta, GA 30022-6281 | 2011-03-15 |
| 1093735011 | Charles W Phillips | Optometrist | 4311 W Wadley Ave, Midland, TX 79707-5457 | 2006-07-20 |
| 1902891872 | Charles M Phillips | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Greenville, NC 27834-2849 | 2005-09-15 |
| 1023017548 | Charles Bailey Phillips Jr. | Chiropractor | 4045 Vineville Ave, Macon, GA 31210-5039 | 2005-07-18 |
| 1891791299 | Charles Vincent Phillips | Surgery | 3838 San Dimas St, Ste B-231, Bakersfield, CA 93301-2284 | 2005-06-22 |
| 1538164298 | Charles T Phillips | Physician Assistant | 250 Nash Medical Arts Mall, Suite D, Rocky Mount, NC 27804-1470 | 2005-06-17 |
| 1760872808 | Charles Henry Phillips IIi | Physician Assistant | 915 N Greensboro St, Lexington, NC 27292-2699 | 2015-01-28 |
| 1811312986 | Charles Andrew Phillips | Internal Medicine | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2014-02-26 |
| 1265722953 | Charles Allen Phillips | Pediatrics | 3401 Civic Center Blvd, Divisions of Hematology and Oncology, Philadelphia, PA 19104-4319 | 2011-04-14 |
| Street Address |
2035 PROFESSIONAL CTR DR STE C |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568429769 | Douglas Michael Tew | Internal Medicine | 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 | 2006-05-01 |
| 1033168539 | Mark Anthony Stawara | Internal Medicine | 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073-4462 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235418286 | Antoinette N. Koe M.d, P.a | Internal Medicine | 1543 Kingsley Ave Ste 12, Orange Park, FL 32073-4544 | 2011-08-09 |
| 1184917627 | Robert Emmet Frank | Internal Medicine | 1590 Island Ln Ste 1, Orange Park, FL 32003-4407 | 2011-05-17 |
| 1235326844 | Markus Sonntag Md | Internal Medicine | 2035 Professional Center Dr Ste C, Orange Park, FL 32073-4462 | 2007-09-27 |
| 1255542262 | Vishal Chandubhai Patel | Internal Medicine | 904 Park Ave, Orange Park, FL 32073-4120 | 2007-05-24 |
| 1609091081 | Robert Koe | Internal Medicine | 1543 Kingsley Avenue, Building #12, Orange Park, FL 32073 | 2007-04-13 |
| 1245390723 | Nilmarie Guzman | Internal Medicine | 2021 Professional Center Dr Ste 100, Orange Park, FL 32073-4461 | 2006-12-12 |
| 1639258221 | Jeffrey Bruce Chesler I | Internal Medicine | 1406 Kingsley Ave Ste D, Orange Park, FL 32073-4528 | 2006-11-03 |
| 1689785198 | William Lanier Pearce | Internal Medicine | 3437 Mainard Branch Ct, Orange Park, FL 32003-4700 | 2006-08-31 |
| 1770511412 | James M Porcelli | Internal Medicine | 20 Blanding Blvd, Orange Park, FL 32073-2235 | 2006-06-29 |
| 1568429769 | Douglas Michael Tew | Internal Medicine | 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 | 2006-05-01 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.