JOHN G PHILLIPS (NPI# 1326070111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326070111 |
| Entity Type | Individual |
| Full Name | JOHN G PHILLIPS |
| Credential | M. D. |
| Practice Address |
15110 John J Delaney Dr Suite 100 Charlotte NC 28277-3545 |
| Mailing Address |
Po Box 601067 Charlotte NC 28260-1067 |
| Practice Telephone | 7045125100 |
| Practice Fax Number | 7045125101 |
| Mailing Telephone | 7045125100 |
| Mailing Fax Number | 7045125101 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 28075 | NC | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 11491 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 114913 | 05 | |
| NC | 8967621 | 05 | |
| NC | NC BLUE CROSS BLUE SHIELD | 67621 | 01 |
| NC | 7905171 | 05 | |
| NC | 1326070111 | 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 |
15110 JOHN J DELANEY DR SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407650 | Zuzana Banas | Internal Medicine | 15110 John J Delaney Dr, Ste 200, Charlotte, NC 28277-3544 | 2005-06-17 |
| 1316423957 | Kristina Olang | Nurse Practitioner | 15110 John J Delaney Dr, Ste 200, Charlotte, NC 28277-3544 | 2018-07-17 |
| 1912417627 | Elizabeth Aravapalli | Nurse Practitioner | 15110 John J Delaney Dr, Ste 100, Charlotte, NC 28277-3544 | 2017-10-08 |
| 1154872927 | Sydney Capodicasa | Nurse Practitioner | 15110 John J Delaney Dr, Ste 200, Charlotte, NC 28277-3544 | 2016-10-17 |
| 1760877716 | Jason Fishel | Family Medicine | 15110 John J Delaney Dr, Ste 200, Charlotte, NC 28277-3544 | 2015-04-06 |
| 1154753903 | Jennifer Crumpler | Advanced Practice Midwife | 15110 John J Delaney Dr, Ste 100, Charlotte, NC 28277-3544 | 2013-08-04 |
| 1932544293 | Tina Moreno | Advanced Practice Midwife | 15110 John J Delaney Dr, Ste 100, Charlotte, NC 28277-3544 | 2013-04-30 |
| 1770822769 | Tammy Reyes | Advanced Practice Midwife | 15110 John J Delaney Dr, Ste 100, Charlotte, NC 28277-3544 | 2013-02-11 |
| 1730441155 | Anne Lutin | Internal Medicine | 15110 John J Delaney Dr, Ste 200, Charlotte, NC 28277-3544 | 2012-06-12 |
| 1154609170 | Ifeoma Anulika Ilo | Nurse Practitioner | 15110 John J Delaney Dr, Suite 100, Charlotte, NC 28277-3544 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899782 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 101 E Wt Harris Blvd Ste 5002, Charlotte, NC 28262-3588 | 2020-04-09 |
| 1528617362 | Arboretum Obstetrics & Gynecology | Obstetrics & Gynecology | 3125 Springbank Ln Ste B, Charlotte, NC 28226-3379 | 2019-09-04 |
| 1548624992 | Cassandra Yoder | Obstetrics & Gynecology | 1350 S. Kings Dr., Myers Park Clinic Ob/gyn, Charlotte, NC 28207 | 2016-04-12 |
| 1043690480 | Elizabeth Lindsay Montague-farwell | Obstetrics & Gynecology | 416 E 36th St Su 200, Charlotte, NC 28205 | 2015-06-01 |
| 1285048181 | Katie Mellington Vemireddy | Obstetrics & Gynecology | 8201 Healthcare Loop Ste 302, Charlotte, NC 28215-7072 | 2014-06-18 |
| 1467899948 | Chancy Lucas | Obstetrics & Gynecology | 325 Hawthorne Ln Ste 200, Charlotte, NC 28204 | 2013-05-24 |
| 1750727293 | Stephanie Barbadora-froelich | Obstetrics & Gynecology | 416 E 36th St Ste 200, Charlotte, NC 28205 | 2013-05-10 |
| 1992076509 | Novant Medical Group, Inc | Obstetrics & Gynecology | 11030 Golf Links Dr N, Suite 100, Charlotte, NC 28277-8200 | 2012-01-13 |
| 1073898805 | Novant Medical Group Inc | Obstetrics & Gynecology | 2610 West Arrowood Road, Charlotte, NC 28273-6134 | 2011-10-12 |
| 1164714788 | Patricia Jane Mattingly | Obstetrics & Gynecology | 6324 Fairview Rd Ste 390, Charlotte, NC 28210-4173 | 2011-05-16 |
| Find all providers in CHARLOTTE | ||||
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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.