MR. MICHAEL G. PHILLIPS (NPI# 1689970535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689970535 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL G. PHILLIPS |
| Credential | SUB IDC |
| Practice Address |
2621 Las Brisas St Corpus Christi TX 78414-5014 |
| Practice Telephone | 5593624304 |
| Mailing Telephone | 5593624304 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1013312578 | Michael Phillips Jr. | Counselor | 11 Ward St Ste 200, Somerville, MA 02143-4214 | 2014-10-27 |
| 1790035707 | Michael Kenneth Phillips | Military Health Care Provider | 623 Pusan Dr, Oceanside, CA 92058-8149 | 2012-09-17 |
| 1992099600 | Michael Zachary Phillips | Emergency Medicine | 175 Cheney Ave, Harpers Ferry, WV 25425-6343 | 2011-05-31 |
| 1750437265 | Michael Phillips | Counselor | 506 Ne Thompson St, Portland, OR 97212-3843 | 2007-01-26 |
| 1730234709 | Michael Phillips | Specialist | 9253 Hermosa Ave, Ste C, Rancho Cucamonga, CA 91730-5854 | 2007-01-23 |
| 1699845974 | Michael Stuart Phillips | Internal Medicine | 545 1st Ave, Nyu Medical Center, Greenberg Hall, Room Sc-132, New York, NY 10016-6401 | 2006-11-08 |
| 1225124837 | Michael Phillips | Chiropractor | 34734 Vine St, Willowick, OH 44095-5120 | 2006-10-04 |
| 1063520294 | Michael Newton Phillips | Physical Therapist | 3451 Goodman Rd E Ste 108, Southaven, MS 38672 | 2006-08-28 |
| Street Address |
2621 LAS BRISAS ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1790267698 | Christine Rodriguez | Occupational Therapy Assistant | 3913 Eckner, Corpus Christi, TX 78414 | 2018-09-06 |
| 1588145643 | Teresita Elodia True | Physical Therapy Assistant | 3222 Hampton St, Corpus Christi, TX 78414 | 2018-08-27 |
| 1366923443 | Diana Solis | Occupational Therapy Assistant | 3801 Cimmaron Blvd, York Ave, Corpus Christi, TX 78414 | 2018-08-27 |
| 1780164335 | Marie Guardiola | Occupational Therapy Assistant | 6802 Jets Court, Corpus Christi, TX 78414 | 2018-08-14 |
| 1962905075 | Gabriel Shelton | Chiropractor | 5650 Woolridge Rd, Corpus Christi, TX 78414 | 2018-03-14 |
| 1154838779 | Maria Graciella Dizon Devera-ferrer | Physical Therapist | 6033 Maximus Drive, Corpus Christi, TX 78414 | 2018-01-04 |
| 1629594775 | Mildred Necesario Macasinag | Physical Therapist | 7805 Pavo Real St., Corpus Christi, TX 78414 | 2017-08-21 |
| 1790201176 | Christopher Muse | Counselor | 3126 Rodd Field Road, Corpus Christi, TX 78414 | 2017-08-17 |
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| Find all providers in zip 78414 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337013 | John Cantu | Military Health Care Provider | 3945 Tripoli Dr, Corpus Christi, TX 78415-3348 | 2015-09-28 |
| 1194931311 | Jesus Jimenez | Military Health Care Provider | 1017a Huey Dr, Corpus Christi, TX 78418 | 2007-05-15 |
| 1770607145 | Gideon Allen Kain | Military Health Care Provider | 10651 E St., Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2007-03-19 |
| 1417914631 | Jeffrey William Ard | Military Health Care Provider | 10651 E St, Corpus Christi, TX 78419-5130 | 2006-05-01 |
| 1275590184 | James E Day | Military Health Care Provider | 10651 E St, Corpus Christi, TX 78419-5130 | 2006-04-26 |
| 1922068246 | Chaddrick Lendon Jack | Military Health Care Provider | 10651 E St, Corpus Christi, TX 78419-5130 | 2006-03-23 |
| 1124097720 | Michael Davis | Military Health Care Provider | 10651 E St, Corpus Christi, TX 78419-5130 | 2006-03-16 |
| 1689642506 | Kenneth Wayne Graves | Military Health Care Provider | Naval Hospital Corpus Christi, 10651 E Street, Corpus Christi, TX 78419-5130 | 2006-03-08 |
| 1568439933 | Lee E Pradia Jr. | Military Health Care Provider | 10651 E St, Naval Hospital, Corpus Christi, TX 78419-5130 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225581481 | Kenneth Perry Vantassel | Military Health Care Provider | 1410 Woodfair Dr, Richmond, TX 77406-6609 | 2016-07-24 |
| 1528430980 | Tomasz Orent | Military Health Care Provider | 26885 Manor Falls Dr, Kingwood, TX 77339-7709 | 2015-10-26 |
| 1699144428 | Alberto Gonzalez | Military Health Care Provider | 102 Redrock Dr, San Antonio, TX 78213-4526 | 2015-09-22 |
| 1275938375 | Ricardo Jaramillo | Military Health Care Provider | 7016 Austrian Pine, Brownsville, TX 78526 | 2014-10-31 |
| 1942637087 | Matthew Alan Robichaux | Military Health Care Provider | 13500 White Tail Trl, Austin, TX 78736-7422 | 2013-10-03 |
| 1417223710 | Adam Anthony Garcia | Military Health Care Provider | 12080 Paseo De Amor Ln, El Paso, TX 79936-4499 | 2012-03-30 |
| 1124306329 | David G Morales Jr. | Military Health Care Provider | 9180 Tenango Dr, El Paso, TX 79907-3257 | 2011-07-22 |
| 1912208216 | Shepley Allen Reimer | Military Health Care Provider | 3555 Patch Rd, Fort Sam Houston, TX 78234-1200 | 2010-11-03 |
| 1750690400 | John Douglas Compton Jr. | Military Health Care Provider | 13506 Wood Terrace Dr, Houston, TX 77038-1533 | 2010-09-29 |
| 1396077020 | Christopher John Robinson | Military Health Care Provider | 4006 Waverly Rd, Corinth, TX 76208-5270 | 2010-02-05 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78414 |
Please comment or provide details below to improve the information on MR. MICHAEL G. 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.