DR. THEODORE L. PHILLIPS (NPI# 1710929963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710929963 |
| Entity Type | Individual |
| Full Name | DR. THEODORE L. PHILLIPS |
| Credential | M.D. |
| Practice Address |
2701 E Elvira Rd Tucson AZ 85756-7124 |
| Mailing Address |
1635 Divisadero Street Suite 625, Box 1821 San Francisco CA 94143-0001 |
| Practice Telephone | 5208744024 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A19551 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A19551 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A195510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578630 | Theodore Banks Phillips Jr. | Pharmacist | 2801 E Market St Bldg B, York, PA 17402-2406 | 2020-11-05 |
| 1710938725 | Theodore George Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 S Cedar Crest Blvd, Suite 310, Allentown, PA 18103-6224 | 2006-05-15 |
| Street Address |
2701 E ELVIRA RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85756-7124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275505992 | Rein Anton | Neurological Surgery | 2701 E Elvira Rd, Tucson, AZ 85756-7124 | 2006-02-06 |
| 1144392291 | Alison T Stopeck | Internal Medicine | 2701 E Elvira Rd, Tucson, AZ 85706-7124 | 2006-11-14 |
| 1205923729 | Charles Mark Bazzell | Anesthesiology | 2701 E Elvira Rd, Tucson, AZ 85756-7124 | 2006-10-06 |
| 1669583456 | Susan Kies Bazzell | Anesthesiology | 2701 E Elvira Rd, Tucson, AZ 85756-7124 | 2006-08-31 |
| 1568495281 | Celia Perez Valenzuela | Obstetrics & Gynecology | 2701 E Elvira Rd, Tucson, AZ 85756-7175 | 2006-07-08 |
| 1326007055 | Janet B Teodori | Psychiatry & Neurology | 2701 E Elvira Rd, Tucson, AZ 85756-7124 | 2006-03-21 |
| 1134197791 | Carlos R. Gonzales | Family Medicine | 2701 E Elvira Rd, Tucson, AZ 85706-7124 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
| 1588154447 | Patrick Thurman | Counselor | 7612 E Autumn Leaf Dr, Tucson, AZ 85756 | 2018-05-16 |
| 1215316120 | Carlos Godoy | Contractor | 6108 E Bramble St, Tucson, AZ 85756 | 2015-05-26 |
| 1023388279 | Julie Marie Shute | Nurse Practitioner | 10000 S Wimot Rd, Tucson, AZ 85756 | 2012-01-05 |
| 1710267968 | Pneuma House | Community Based Residential Treatment Facility, Mental Illness | 4035 E Stony Meadow Drive, Tucson, AZ 85756 | 2011-08-19 |
| 1629305495 | Azi House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6914 S Bittercress Rd, Tucson, AZ 85756 | 2009-11-15 |
| 1477162469 | Sarah Shellhouse | Respite Care | 4035 E Stony Meadow Dr, Tucson, AZ 85756-3076 | 2020-07-27 |
| 1154707040 | Jermaine Taylor | Specialist/Technologist, Other | 4147 E Stony Meadow Dr, Tucson, AZ 85756-3077 | 2015-08-03 |
| 1952868127 | M. Cristina Rivera Figueroa | Behavior Technician | 4251 E Shadow Branch Dr, Tucson, AZ 85756-3093 | 2019-02-25 |
| 1548817497 | Christus Group Home | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2019-08-23 |
| Find all providers in zip 85756 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194988204 | David Thomas Vonk | Radiology | 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 | 2008-07-08 |
| 1750350401 | Silvio Antonio Aristizabal | Radiology | 1620 W Saint Marys Rd, Tucson, AZ 85745-2624 | 2006-03-15 |
| 1356310023 | Dolores Durr Basden | Radiology | 2625 N Craycroft Rd Ste 100, Tucson, AZ 85712-2254 | 2006-03-15 |
| 1922447127 | Tijana Skrepnik | Radiology | 2450 E River Rd, Tucson, AZ 85718-6526 | 2013-06-20 |
| 1427317510 | Uma Devi Goyal | Radiology | 1501 N Campbell Ave, Department of Radiation Oncology, Tucson, AZ 85724-0001 | 2012-05-09 |
| 1861782641 | Nikhil Thaker | Radiology | 1620 W Saint Marys Rd, Tucson, AZ 85745-2624 | 2011-04-13 |
| 1225201395 | Shelli Hanks | Radiology | 5670 N Professional Park Dr, Ste120, Tucson, AZ 85704-7878 | 2008-04-09 |
| 1619163649 | Victor Jose Gonzalez | Radiology | 1501 N Campbell Ave, Dept. of Radiation Oncology, Tucson, AZ 85724-5081 | 2007-09-24 |
| 1447440961 | Sun K Yi | Radiology | 1501 N Campbell Ave, Box 245081, Tucson, AZ 85724-5018 | 2007-07-31 |
| 1750441770 | David A Frye | Radiology | 6567 E Carondelet Dr, Ste. # 185, Tucson, AZ 85710-6152 | 2006-12-11 |
| Find all providers in TUCSON | ||||
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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.