DR. KATHLEEN PHILLIPP (NPI# 1750484069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750484069 |
Entity Type | Individual |
Full Name | DR. KATHLEEN PHILLIPP |
Credential | M.D. |
Practice Address |
301 E 12th St Sweetwater TX 79556-2317 |
Mailing Address |
Po Box 1198 Abilene TX 79604-1198 |
Practice Telephone | 3252352869 |
Practice Fax Number | 3252352842 |
Mailing Telephone | 3256704220 |
Mailing Fax Number | 3256704040 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2019-03-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | G2615 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 096494201 | 05 |
Street Address |
301 E 12TH ST |
City | SWEETWATER |
State | TX |
Zip Code | 79556-2317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427000447 | Sweetwater-nolan County Health Unit | Clinic/Center | 301 E 12th St, Sweetwater, TX 79556-2317 | 2006-05-17 |
1124297908 | Sweetwater-nolan County Health Department | Clinic/Center | 301 E 12th St, Sweetwater, TX 79556-2317 | 2008-02-26 |
1427254119 | Sweetwater-nolan County Health Dept. | Clinic/Center | 301 E 12th St, Sweetwater, TX 79556-2317 | 2007-06-21 |
1760532774 | Sweetwater-nolan County Health Department | Clinic/Center | 301 E 12th St, Sweetwater, TX 79556-2317 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932680972 | Rebecca Jane Rees | Counselor | 808 1/2 East Broadway, Sweetwater, TX 79556 | 2018-08-28 |
1811324080 | Byron Heath Patterson | Pharmacist | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2013-10-03 |
1598034506 | Norma Linda Leal | Pharmacist | 210 S. W. Georgia Ave, Sweetwater, TX 79556 | 2011-12-20 |
1609023746 | Donald J. Armstrong Jr. | Counselor | 113 W. 3rd St., Sweetwater, TX 79556 | 2008-08-20 |
1023280724 | Chas L Mcglothlin | Durable Medical Equipment & Medical Supplies | 1107b E Broadway, Sweetwater, TX 79556 | 2008-04-02 |
1023134590 | Assisted Living Concepts Inc | Assisted Living Facility | 1700 Hoyt Avenue, Sweetwater, TX 79556 | 2007-03-22 |
1467598771 | Randy S May | Dentist | 302 East Third St, Sweetwater, TX 79556 | 2007-01-30 |
1437200573 | City of Sweetwater | Home Delivered Meals | 1701 Elm St, Sweetwater, TX 79556 | 2007-01-16 |
1669567277 | Paul Edward Byers | Nurse Anesthetist, Certified Registered | 200 East Arizona Avenue, Sweetwater, TX 79556 | 2006-10-03 |
1972602829 | Gilbert S. Carreon | Dentist | 500 Lamar, Sweetwater, TX 79556 | 2006-09-21 |
Find all providers in zip 79556 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Find all providers with the same taxonomy |
City | SWEETWATER |
Zip Code | 79556 |
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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.