DR. ANTHONY W PHILLIPS (NPI# 1780729020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780729020 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY W PHILLIPS |
| Credential | M.D. |
| Practice Address |
3925 N Gateway Dr Appleton WI 54913-7863 |
| Mailing Address |
3232 N Ballard Rd Suite 200 Appleton WI 54911-8804 |
| Practice Telephone | 9207491171 |
| Mailing Telephone | 9207499668 |
| Mailing Fax Number | 9207345307 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
28688 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31656500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861748030 | Anthony Joseph Phillips | Physical Therapist | 5899 Bremo Rd Ste 100, Richmond, VA 23226-1935 | 2012-07-25 |
| 1245475813 | Anthony Derral Phillips | Registered Nurse | 300 China Gulch Rd, Jacksonville, OR 97530-9744 | 2008-12-10 |
| 1639190044 | Anthony Michael Phillips | Physical Therapist | 1450 Bessie Avenue, Tracy, CA 95376 | 2006-07-21 |
| 1962496372 | Anthony Scott Phillips | Chiropractor | 11015 W 75th St, Shawnee, KS 66214-1107 | 2005-08-31 |
| 1780134593 | Anthony Phillips | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2016-10-05 |
| 1467854737 | Anthony Donald Phillips | Social Worker | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2014-09-18 |
| 1871855346 | Anthony E Phillips | Social Worker | 91 Strawberry Hill Ave, # 140, Stamford, CT 06902-2762 | 2012-06-11 |
| 1013211234 | Anthony Phillips | Counselor | 600 1st St, Suite#200, Albuquerque, NM 87102 | 2011-01-03 |
| 1639485154 | Anthony Phillips | Physical Therapist | 67 Higbee Ave, Somers Point, NJ 08244-2323 | 2010-08-21 |
| 1588792527 | Anthony W Phillips | Registered Nurse | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2007-03-01 |
| Street Address |
3925 N GATEWAY DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-7863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677906 | Douglas P Calvin | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2005-08-23 |
| 1750820759 | Adam Edward Luboff | Pharmacist | 3925 N Gateway Dr, Suite 100, Appleton, WI 54913-7863 | 2017-02-23 |
| 1003352733 | Fox Valley Hematology & Oncology S C | Pharmacy | 3925 N Gateway Dr, Suite 100, Appleton, WI 54913-7863 | 2017-01-19 |
| 1801267240 | Dana Lynn Doke | Health Educator | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2015-10-12 |
| 1629446331 | Crystal Guttman | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2015-09-11 |
| 1750628970 | Sara Meiers | Clinical Nurse Specialist | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2013-01-08 |
| 1386877538 | Jennifer Giebel | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2009-09-03 |
| 1194925479 | Daisy A Boehm | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-07-24 |
| 1063535524 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-04-09 |
| 1154447480 | Carrie Kristen Baum | Dietitian, Registered | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063767317 | Natasha Catherine Edwin | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2012-07-23 |
| 1063535524 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-04-09 |
| 1528191723 | Edgard Atef Badine | Internal Medicine | 1818 N Meade St, Suite W120, Appleton, WI 54911-3454 | 2007-03-14 |
| 1386789618 | William C Guenther Jr. | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-02-21 |
| 1821123019 | John D Swanson Jr. | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-02-21 |
| 1124163407 | Avi Bar-lev | Internal Medicine | 900 E Grant St, Appleton, WI 54911-3487 | 2007-02-21 |
| 1174670145 | Xin Yao | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-01-04 |
| 1245336759 | Matthias Weiss | Internal Medicine | 1818 N Meade St, Suite W120, Appleton, WI 54911-3454 | 2006-09-15 |
| 1316998362 | William A Conkright | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716358 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2017-01-19 |
| 1629416409 | Christopher Robert D'angelo | Internal Medicine | 958 Basswood Ave, Verona, WI 53593-8220 | 2013-06-13 |
| 1811250426 | Michael Bade Wheeler | Internal Medicine | 28391 Essential Road, Merton, WI 53056-0012 | 2012-06-19 |
| 1366732752 | Ezzideen Barjes Alrawi | Internal Medicine | 111 Ann St, Waukesha, WI 53188-2263 | 2011-04-19 |
| 1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
| 1528276417 | Kelly Jo Cooke | Internal Medicine | 721 American Ave Ste 508, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5071 | 2007-05-21 |
| 1205044773 | Derek Steven Serna | Internal Medicine | 1683 Whistling Hill Cir, Hartland, WI 53029 | 2007-05-18 |
| 1770706624 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | N3063 Cty Qq, Waupaca, WI 54981-9796 | 2007-04-10 |
| 1003039959 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1370 N Shawano St E, New London, WI 54961-2155 | 2007-04-10 |
| 1356486591 | Galen R Hasler | Internal Medicine | 350 S Hamilton St, 203, Madison, WI 53703-3861 | 2007-02-21 |
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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.