EDWARD K. PHILLIPS (NPI# 1366555328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366555328 |
| Entity Type | Individual |
| Full Name | EDWARD K. PHILLIPS |
| Credential | M.D. |
| Practice Address |
1010 Lakeland Square Ext Ste B Flowood MS 39232-7607 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Malvern PA 19355-1407 |
| Practice Telephone | 6019360890 |
| Practice Fax Number | 6019360891 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 4849240053 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 9170 | MS | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
09170 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115950 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295877322 | Edward H Phillips | Surgery | 8635 W 3rd St, Ste 795w, Los Angeles, CA 90048-6101 | 2007-02-13 |
| 1841345469 | Edward Charles Phillips | Internal Medicine | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2007-01-24 |
| 1801960109 | Edward Michael Phillips | Nurse Anesthetist, Certified Registered | 601 Colliers Way, Weirton, WV 26062-5014 | 2006-11-20 |
| 1609856087 | Edward Michael Phillips | Physical Medicine & Rehabilitation | 125 Nashua Street, Spaulding Rehabilitation Hospital, Boston, MA 02114 | 2006-01-20 |
| 1598752552 | Edward F Phillips | Obstetrics & Gynecology | 7000 Sw 62nd Ave, Suite 350, South Miami, FL 33143-4716 | 2005-10-04 |
| Street Address |
1010 LAKELAND SQUARE EXT STE B |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-7607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093731895 | Vipin S Patel | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2006-07-14 |
| 1770832461 | Flowood Vascular Access, LLC | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2012-09-10 |
| 1457658007 | Sohail Abdul Salim | Internal Medicine | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2011-02-17 |
| 1114239423 | Lee Michael Ferguson | Internal Medicine | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2010-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134446743 | Thomas Edward Panico | Radiology | 4213 Lakeland Drive, Flowood, MS 39232-9212 | 2010-04-23 |
| 1154874600 | Open Mri Jackson Radiology Pllc | Radiology | 120 Stone Creek Blvd, Suite 900, Flowood, MS 39232-8205 | 2016-08-02 |
| 1578967261 | River Oaks Hospital LLC | Radiology | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184185092 | North Mississippi Radiology Services LLC | Radiology | 7420 Guthrie Dr N Ste 105, Southaven, MS 38671-5857 | 2019-03-26 |
| 1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
| 1851709851 | Telerad of Ms Account Management LLC | Radiology | 3201 Oakleigh Cir, Ocean Springs, MS 39564-5861 | 2014-07-23 |
| 1033532825 | Nadia Aboussouan Tyson | Radiology | 675 N Livingston Rd, Ridgeland, MS 39157-5034 | 2014-01-29 |
| 1124459490 | James Vaiden Ferguson Jr. | Radiology | 3638 Lyles Dr, Oxford, MS 38655-5709 | 2013-12-11 |
| 1487904173 | Mid Delta Radiology Associates, LLC | Radiology | 130 River Club Cir, Clarksdale, MS 38614-9725 | 2012-09-11 |
| 1043587629 | Clifton L Hester Jr. | Radiology | 607 E Leake St, Clinton, MS 39056-4300 | 2011-11-26 |
| 1912298498 | Lisa Mabry Smith | Radiology | 14257 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-05-02 |
| 1487808408 | Gulf Shores Radiology Assoicates | Radiology | 1207 Wood Duck Cv, Oxford, MS 38655-7347 | 2008-11-05 |
| 1679775001 | Molecular Imaging Assoc Pllc | Radiology | 136 Fioranelli Dr, Greenville, MS 38701-7313 | 2007-06-05 |
| 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.