JOHN PATRICK PHILLIPS (NPI# 1831106897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831106897 |
| Entity Type | Individual |
| Full Name | JOHN PATRICK PHILLIPS |
| Credential | MD |
| Practice Address |
1127 University Blvd Ne Carrie Tingley Hospital Albuquerque NM 87102-1740 |
| Mailing Address |
1127 University Blvd Ne Msc07 4090 Albuquerque NM 87102-1740 |
| Practice Telephone | 5052725200 |
| Mailing Telephone | 5052725200 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
87-273 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
1127 UNIVERSITY BLVD NE CARRIE TINGLEY HOSPITAL |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191378 | Caroline Cook | Physician Assistant | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2005-08-15 |
| 1912518770 | Megan Tess Baker | Nurse Practitioner | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2020-08-13 |
| 1790248078 | Brittney Shae Letourneau | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2019-04-12 |
| 1114480423 | Ella Lee Dolan | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2019-04-12 |
| 1760944946 | Nathan Giles | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2019-04-04 |
| 1447712278 | Justin Marshall Hessinger | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2019-04-01 |
| 1003377979 | Shauna Thariath | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2019-03-25 |
| 1447714217 | Lorena Galvan | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2019-01-25 |
| 1235613696 | Cole Tyler Linzmeyer | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1715 | 2018-09-21 |
| 1750801296 | Morgan Leigh Day | Student in an Organized Health Care Education/Training Program | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316031792 | Abby B Kunz | Pediatrics | 201 Cedar St Se, Suite 4660, Albuquerque, NM 87106-4917 | 2006-10-03 |
| 1437166493 | Catherine Mcclain | Pediatrics | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2006-08-02 |
| 1679580617 | Deborah Hall | Pediatrics | 2300 Menaul Blvd Ne, Center for Developmental Disabilities, Albuquerque, NM 87107-1851 | 2006-08-02 |
| 1487660106 | Stanley Handmaker | Pediatrics | 1127 University Blvd Ne, 1st Floor Pediatric Clinic, Albuquerque, NM 87102-1740 | 2006-08-01 |
| 1861407314 | Janis Gonzales | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1205841772 | Judith A. Ledman | Pediatrics | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2006-07-30 |
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.