MR. DAVID L. PHILLIPS (NPI# 1285605816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285605816 |
| Entity Type | Individual |
| Full Name | MR. DAVID L. PHILLIPS |
| Credential | MD |
| Practice Address |
4802e Johnson Ave Jonesboro AR 72401-8413 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709368000 |
| Practice Fax Number | 8709343629 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709343629 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | E-1753 | AR | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | E1753 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 134437001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497158257 | David Scott Phillips | Dentist | 710 12th Street Se, Auburn, WA 98002 | 2014-10-07 |
| 1194165688 | David Alexander Phillips | Family Medicine | 6410 Main St Apt 107, Miami Lakes, FL 33014-2218 | 2013-06-27 |
| 1720425192 | David Ryan Phillips | Otolaryngology | 721 W 13th St Ste 325, Jasper, IN 47546-1857 | 2013-05-26 |
| 1265777247 | David Brooks Phillips | Marriage & Family Therapist | 2023 N St Ste 100, Sacramento, CA 95811-4240 | 2012-12-03 |
| 1770712812 | David Matthew Phillips | Registered Nurse | 1222 South Patterson Blvd, Dayton, OH 45402 | 2009-07-10 |
| 1730357583 | David Paul Phillips | Counselor | 803 W Bayou Pines Dr, Suite F, Lake Charles, LA 70601-7096 | 2008-02-14 |
| 1730203696 | David M Phillips | Dentist | 2110 Enterprise St Se Ste 201, Kentwood, MI 49508-5050 | 2007-03-18 |
| 1033299508 | David Robert Phillips | Chiropractor | 948a E Broad St, Columbus, OH 43205-1131 | 2006-10-17 |
| 1932148517 | David Anthony Phillips | Chiropractor | 5779 Broadway St, Lancaster, NY 14086-2360 | 2006-06-06 |
| 1407894777 | David A Phillips | Radiology | 55 Lake Ave North, Umass Memorial/radiology, Worcester, MA 01655 | 2006-06-02 |
| Street Address |
4802E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568505543 | John Melvin Allen | Urology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2007-02-15 |
| 1578606109 | Michael Laurence Suminski | Urology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2007-02-14 |
| 1104911759 | Rebecca Barrett-tuck | Neurological Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-10-03 |
| 1780641563 | Robert Abraham | Neurological Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-27 |
| 1952368565 | Jason Brandt | Orthopaedic Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-27 |
| 1841256609 | Bing Behrens | Psychiatry & Neurology | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-21 |
| 1871557041 | Kenneth B Jones | Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-14 |
| 1902860620 | Russell D Degges | Surgery | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-12 |
| 1598733602 | Ray H. Hall Jr. | Internal Medicine | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| 1316915424 | Robert D Taylor | Internal Medicine | 4802e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659383545 | Rebecca Lee Crouch | Surgery | 166 Beech Springs Rd, Jonesboro, LA 71251-2014 | 2006-08-12 |
| 1306852074 | Rafik B Kashlan | Surgery | 242 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2006-08-01 |
| 1417928912 | John Clyde Cook | Surgery | 1005 E Matthews, Jonesboro, AR 72401 | 2006-02-01 |
| 1952372567 | Horace Lynn Wiggins Jr. | Surgery | 1005 E Matthews Ave, Jonesboro, AR 72401-4308 | 2006-01-31 |
| 1700270600 | Dexter N Rich | Surgery | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2015-03-27 |
| 1861891723 | Southern Crescent Physicians Group, Inc. | Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2014-08-17 |
| 1093135956 | Jessica B Hobby | Surgery | 1005 E Matthews Ave, Jonesboro, AR 72401-4308 | 2014-04-18 |
| 1821435629 | Rafik Kashlan Md PC | Surgery | 242 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2013-06-03 |
| 1477818805 | Gregory Logan Lynch | Surgery | 1005 E Matthews Ave, Jonesboro, AR 72401-4308 | 2012-07-11 |
| 1114285145 | Joseph Wesley Hurston Jr. | Surgery | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2012-04-27 |
| Find all providers in JONESBORO | ||||
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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.