DR. JOHN R PHILLIPS (NPI# 1255411187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255411187 |
| Entity Type | Individual |
| Full Name | DR. JOHN R PHILLIPS |
| Credential | M.D. |
| Practice Address |
1 Stadium Drive Morgantown WV 26506 |
| Mailing Address |
Po Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984800 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
20557 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE | PH6030471 | 01 |
| WV | MEDICARE HEARTNEXUS, INC. | WV7088G274 | 01 |
| WV | 0184366000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659638815 | John Gray Phillips | Neurological Surgery | 224 Malibu Cv, Barefoot Beach, FL 34134-8536 | 2012-04-12 |
| 1306155320 | John Boyatt Phillips | Mechanotherapist | 726 E Hayden St, Pocatello, ID 83201-6226 | 2010-09-27 |
| 1831428788 | John Paul Phillips | Neurological Surgery | 6480 N Lake Blvd, Tahoe Vista, CA 96148-0379 | 2009-12-23 |
| 1376769760 | John Doss Phillips | Physical Therapist | 3409 Swisher Rd, Denton, TX 76208-7357 | 2007-04-17 |
| 1144359480 | John Lloyd Phillips | Dentist | 201 S Mcpherson Church Rd Ste 102, Fayetteville, NC 28303-4913 | 2007-03-04 |
| 1124160296 | John Martin Phillips II | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2007-02-13 |
| 1447327937 | John C Phillips | Internal Medicine | 1726 East Carson Street, Pittsburgh, PA 15203 | 2006-11-29 |
| 1255432738 | John Scott Phillips | Podiatrist | 883 London Ave Ste C, Marysville, OH 43040-9166 | 2006-09-26 |
| 1467559559 | John Michael Phillips | Physical Therapist | 700 River Avenue, Ste B, Iron Mountain, MI 49801 | 2006-09-20 |
| 1477567485 | John H Phillips | Internal Medicine | 1037 Sw 5th Ave, Ontario, OR 97914-3301 | 2006-07-27 |
| Street Address |
1 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1114270105 | Tiffany D Lannan | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2012-10-16 |
| 1730438078 | Amanda Kessler | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506 | 2012-08-31 |
| 1205195971 | Hilary Elaine Morley | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-15 |
| 1780943977 | Wvu Hospitals | Student in an Organized Health Care Education/Training Program | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-09 |
| 1770852519 | Stephanie A Olcese | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2011-12-23 |
| 1578846762 | Stephania Amanda Acord | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506-7911 | 2011-09-23 |
| 1831471424 | Terri Lynn Marcischak | Registered Nurse | 1 Stadium Drive, Wvu Hospitals, Morgantown, WV 26506 | 2011-09-09 |
| 1346538931 | Brian Daniel Connolly | Radiology | 1 Stadium Drive, Morgantown, WV 26505 | 2011-07-16 |
| 1356634927 | Lisa Marie Costello | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184984015 | Nita Ray Chaudhuri | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-05-25 |
| 1801976717 | William A Neal | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1861500811 | Jerome Philip Saul | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2006-08-29 |
| 1093781809 | Larry Rhodes | Pediatrics | 1 Medical Center Drive, Morgantown, WV 26506 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629239520 | Anjlee A Patel | Pediatrics | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2008-06-23 |
| 1316018757 | Farah H Garmany | Pediatrics | 3100 Maccorkle Ave, Suite 808, Charleston, WV 25304 | 2006-11-09 |
| 1720169139 | Tchuoc Poin Ly | Pediatrics | 830 Pennsylvania Avenue, Suite 400, Charleston, WV 25302-3390 | 2006-10-18 |
| 1023118825 | John M Eckerd | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-22 |
| 1912961699 | Mahmood Heydarian | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2006-04-12 |
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on DR. JOHN R PHILLIPS.
| 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.