JOHN MARK PHILLIPS (NPI# 1407036361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407036361 |
| Entity Type | Individual |
| Full Name | JOHN MARK PHILLIPS |
| Credential | RN |
| Practice Address |
1100 Kansas Ave Suite A Modesto CA 95351-1596 |
| Practice Telephone | 2095587475 |
| Practice Fax Number | 2095584042 |
| Mailing Telephone | 2095587475 |
| Mailing Fax Number | 2095584042 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
538019 | CA | Nursing Service Providers |
| 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 |
1100 KANSAS AVE SUITE A |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1083170930 | Alyssa Lenae Baker | Counselor | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2019-02-15 |
| 1619351574 | Specialized Daycare Services, Inc | Non-emergency Medical Transport (VAN) | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2015-07-10 |
| 1396956751 | Stanislaus County | Community/Behavioral Health | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-05-25 |
| 1578789061 | Karen Marie Mitchell | Social Worker | 1100 Kansas Ave, Suite B, Modesto, CA 95351-1596 | 2007-04-17 |
| 1720101058 | Behavioral Health and Recovery Services | Community/Behavioral Health | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-04-10 |
| 1699890533 | Matthew Presnell Blakeley | Counselor | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-03-20 |
| 1336278993 | Bosseba Kong | Social Worker | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-03-02 |
| 1033247689 | Maria Molie Tupua | Registered Nurse | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-03-02 |
| 1801922687 | Mary Elizabeth Oakes | Marriage & Family Therapist | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239622 | Christian Buck | Registered Nurse | 4605 Via Altura, Modesto, CA 95357-0667 | 2019-11-15 |
| 1598287906 | Janet Vargas | Registered Nurse | 1312 Pecos Ave, Modesto, CA 95351-4728 | 2017-07-07 |
| 1871982199 | Celeste Lascano | Registered Nurse | 3001 Hahn Dr Apt 354, Modesto, CA 95350-6585 | 2015-01-12 |
| 1558520114 | Kim Dale Goodrum | Registered Nurse | 825 Palmilla Dr, Modesto, CA 95356-1152 | 2008-06-08 |
| 1902093909 | Gayle Patricia Ivy | Registered Nurse | 3909 Trillium Ave, Modesto, CA 95356-1319 | 2007-10-03 |
| 1871792952 | Mary Lynn Miller | Registered Nurse | 500 N 9th St Ste C, Modesto, CA 95350-5814 | 2007-07-17 |
| 1962523225 | Koni Del Nugent | Registered Nurse | 1912 Post Oak Dr, Modesto, CA 95354-1634 | 2007-04-03 |
| 1104946946 | Melissa Alane Sanchez | Registered Nurse | 1829 Savoie Way, Modesto, CA 95356-8947 | 2007-03-29 |
| 1922132802 | John Francis Gilmore | Registered Nurse | 920 12th Street, Modesto, CA 95354 | 2007-03-15 |
| 1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
| Find all providers in MODESTO | ||||
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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.