THOMAS PHILLIPS (NPI# 1861553836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861553836 |
| Entity Type | Individual |
| Full Name | THOMAS PHILLIPS |
| Credential | MD |
| Practice Address |
97 S 4th St Ste D Ishpeming MI 49849-2168 |
| Practice Telephone | 9064852102 |
| Practice Fax Number | 9064866898 |
| Mailing Telephone | 9064852102 |
| Mailing Fax Number | 9064866898 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301045204 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RRMEDICARE | P00187621 | 01 |
| MI | BCBS LICENSE | TP045204 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669770079 | Thomas Spencer George Phillips | Counselor | 325 E Pioneer Ste 3, Puyallup, WA 98372-3265 | 2011-03-09 |
| 1063503654 | Thomas R. Phillips | Psychologist | 2734 N Hills Dr Ne, Atlanta, GA 30305-3421 | 2006-09-27 |
| 1275553323 | Thomas G. Phillips | Dentist | 229 Peachtree St Ne Ste 206, Atlanta, GA 30303-1600 | 2006-07-20 |
| 1114961000 | Thomas W Phillips Jr. | Anesthesiology | 101 E Wood St Dept Of, Spartanburg, SC 29303-3040 | 2006-06-15 |
| 1063465326 | Thomas A Phillips | Dentist | 2131 Beechmont Ave, Cincinnati, OH 45230-5414 | 2006-05-18 |
| 1639152333 | Thomas J Phillips | Orthopaedic Surgery | 16702 Valley View Ave, La Mirada, CA 90638-5824 | 2005-11-28 |
| 1053306431 | Thomas Samuel Phillips | Optometrist | 179 York Rd, Warminster, PA 18974-4514 | 2005-09-13 |
| 1487655528 | Thomas Wilson Phillips | Radiology | 20 Glenlake Pkwy, Radiation Oncology, Atlanta, GA 30328 | 2005-08-10 |
| 1740284124 | Thomas L Phillips | Dentist | 1436 W Pulaski St, Fort Worth, TX 76104-2716 | 2005-06-13 |
| 1548624232 | Thomas Phillips | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Road, Ohsu, Portland, OR 97239 | 2016-04-08 |
| Street Address |
97 S 4TH ST STE D |
| City | ISHPEMING |
| State | MI |
| Zip Code | 49849-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366970428 | Dave Wayne Boissineau | Licensed Practical Nurse | 97 S 4th St, Ishpeming, MI 49849-2168 | 2017-06-01 |
| 1235665142 | Thomas Olver | Counselor | 97 S 4th St, Ishpeming, MI 49849-2168 | 2017-05-11 |
| 1700324472 | Julie Salo | Counselor | 97 S 4th St, Ishpeming, MI 49849-2168 | 2017-02-02 |
| 1700163276 | Dawn Rd Gregory | Physical Therapist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2011-11-10 |
| 1730485764 | John Gray Graham | Occupational Therapist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2011-02-09 |
| 1538461447 | Amber K Argall | Speech-Language Pathologist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2010-11-29 |
| 1982905733 | Kirsten R Matthews | Occupational Therapist | 97 S 4th St, Suite B, Ishpeming, MI 49849-2168 | 2010-11-10 |
| 1194054320 | Helen Kahn | Psychologist | 97 S 4th St, Ishpeming, MI 49849-2168 | 2009-12-17 |
| 1760626311 | Great Lakes Recovery Centers | Clinic/Center | 97 S 4th St, Suite A, Ishpeming, MI 49849-2168 | 2009-04-27 |
| 1073792925 | Radha Chintamaneni | Pediatrics | 97 S 4th St, Ishpeming, MI 49849-2168 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707912 | Trevor Doren | Physician Assistant | 813 Braastads Road, Ishpeming, MI 49849 | 2020-03-31 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1316351224 | Great Lakes Recovery Centers | Clinic/Center | 97 S. 4th Street, Suite C, Ishpeming, MI 49849 | 2014-06-18 |
| 1689098857 | Karen Duquette | Psychologist | 540 E Division St, Ishpeming, MI 49849 | 2014-02-09 |
| 1063796456 | Brian E. Anderson, D.d.s., Pllc | Clinic/Center | 125 N. Pansy St, Ishpeming, MI 49849 | 2011-10-04 |
| 1689658973 | Joel A Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2005-12-01 |
| 1538791975 | David Scott Swanson | Registered Nurse | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2020-02-04 |
| 1669831756 | Bell Auxiliary | Voluntary or Charitable | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2016-02-17 |
| 1982831749 | Brian Edward Anderson | Dentist | 125 N Pansy Street, Ishpeming, MI 49849 | 2009-06-18 |
| 1356546378 | Kelly Rose Menge | Obstetrics & Gynecology | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2007-06-19 |
| Find all providers in zip 49849 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265594758 | Michael S Grossman | Specialist | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2006-12-14 |
| 1861554321 | Lloyd J Hooper | Specialist | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2006-12-14 |
| 1689735698 | Michael Jarvis Prevost | Specialist | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2006-12-13 |
| 1366503328 | Kurt Lehmann | Specialist | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2006-12-13 |
| 1790846335 | Wayne Bruce Carlson | Specialist | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2006-12-13 |
| 1215098934 | Richard A Bohjanen | Specialist | 97 S 4th St, Ste F, Ishpeming, MI 49849-2168 | 2006-12-13 |
| 1740208701 | Shahar Madjar | Specialist | 901 Lakeshore Dr., Suite 210, Ishpeming, MI 49849 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
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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.