JACQUELINE PHILLIPS DPM INC (NPI# 1750657821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750657821 |
| Entity Type | Organization |
| Organization Name | JACQUELINE PHILLIPS DPM INC |
| Practice Address |
5575 Conner St Suite 203 Detroit MI 48213-6400 |
| Practice Telephone | 3133454449 |
| Practice Fax Number | 3134998341 |
| Mailing Telephone | 3133454449 |
| Mailing Fax Number | 3134998341 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |
| Authorized Official Name | JACQUELINE PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 3133454449 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | JACQUELINE PHILLIPS DPM INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5901001422 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1255320495 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821027756 | Jacqueline Phillips Dpm Inc | Durable Medical Equipment & Medical Supplies | 5575 Conner St, Suite 203, Detroit, MI 48213-6400 | 2006-07-02 |
| Street Address |
5575 CONNER ST SUITE 203 |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821027756 | Jacqueline Phillips Dpm Inc | Durable Medical Equipment & Medical Supplies | 5575 Conner St, Suite 203, Detroit, MI 48213-6400 | 2006-07-02 |
| 1689293458 | World Wide Clinical Labz LLC | Clinical Medical Laboratory | 5575 Conner St, Detroit, MI 48213-6400 | 2020-04-13 |
| 1295361004 | Angela Colette Walker-tolbert | Counselor | 5575 Conner St, Detroit, MI 48213-6400 | 2020-03-13 |
| 1124532296 | Willie Campbell Jr. | Psychologist | 5575 Conner St, Detroit, MI 48213-6400 | 2017-11-27 |
| 1881053874 | Theyazan Kohaif | Social Worker | 5575 Conner St, Detroit, MI 48213-6400 | 2016-02-18 |
| 1295123180 | Phillips Foot Clinic | Podiatrist | 5575 Conner St, Suite 203, Detroit, MI 48213-6400 | 2014-12-31 |
| 1578976437 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2014-06-09 |
| 1386060127 | John Evans | Counselor | 5575 Conner St, Suite 201 Pavilion Building, Detroit, MI 48213-6400 | 2014-03-17 |
| 1720424013 | Samaritan Urgent Care PC | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2013-05-14 |
| 1912343203 | Samaritan Urgent Care PC | Internal Medicine | 5575 Conner St, Detroit, MI 48213-6400 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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|---|---|---|---|---|
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| 1013540202 | Panacea Therapeutic Solutions LLC | Durable Medical Equipment & Medical Supplies | 3815 W Fort St Ste 207, Detroit, MI 48216-1652 | 2020-02-17 |
| 1023663366 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 660 Woodward Ave Ste 100rx, Detroit, MI 48226-3516 | 2019-08-05 |
| 1235693714 | Manely Yours LLC | Durable Medical Equipment & Medical Supplies | 5525 Lenox St, Detroit, MI 48213-3563 | 2019-01-29 |
| 1306310594 | Dan Miller | Durable Medical Equipment & Medical Supplies | 1001 Woodward Ave Ste 500, Detroit, MI 48226-1920 | 2019-01-22 |
| 1467943852 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3901 Beaubien St Rm 108, Detroit, MI 48201-2119 | 2018-05-22 |
| 1811488281 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6001 W Outer Dr Ste 110, Detroit, MI 48235 | 2018-05-22 |
| 1063903458 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4201 Saint Antoine St Ste 2m, Detroit, MI 48201-2153 | 2018-05-22 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1548768609 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 6071 W Outer Dr Ste M106, Detroit, MI 48235-2624 | 2018-01-24 |
| Find all providers in DETROIT | ||||
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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.