CHRISTOPHER M PHILLIPS (NPI# 1891081386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891081386 |
Entity Type | Individual |
Full Name | CHRISTOPHER M PHILLIPS |
Credential | DPM. |
Practice Address |
4653 White Bear Pkwy White Bear Lake MN 55110-3300 |
Practice Telephone | 6514263995 |
Practice Fax Number | 6514265626 |
Mailing Telephone | 6514263995 |
Mailing Fax Number | 6514265626 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2014-11-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
923 | MN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 472603200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
1154801132 | Christopher Anthony Phillips | Physical Therapist | 4902 Oakwood Rd Nw, Huntsville, AL 35806-1615 | 2018-08-18 |
1376948554 | Christopher Phillips | Military Health Care Provider | 121 Orion Ave, Groton, CT 06340-2841 | 2014-10-29 |
1457755571 | Christopher Wayne Phillips | Counselor | 3792 Chancery Ln, Virginia Beach, VA 23452-2855 | 2014-10-17 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1083973960 | Christopher Paul Phillips | Counselor | 1110 Woodbury St, Shelbyville, TN 37160-2758 | 2012-05-11 |
1124397906 | Christopher Delyn Phillips | Chiropractor | 6200 W Eldorado Pkwy, Ste B, Mckinney, TX 75070-5624 | 2011-12-22 |
1013221506 | Christopher J Phillips | Preventive Medicine | 700 W E St, Unit 1101, San Diego, CA 92101-5990 | 2010-07-27 |
1912024563 | Christopher Raymond Phillips | Internal Medicine | 100 Kiana Court, Suite B, Paducah, KY 42001-6787 | 2007-03-26 |
1700963220 | Christopher R E Phillips | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
Street Address |
4653 WHITE BEAR PKWY |
City | WHITE BEAR LAKE |
State | MN |
Zip Code | 55110-3300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174540736 | Alexander Nick Worobel | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2006-07-17 |
1659777290 | White Bear Foot and Ankle Clinic, Inc. | Clinic/Center | 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2014-11-10 |
1467879684 | White Bear Foot and Ankle Clinic Inc | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2014-03-26 |
1053639732 | Melanie Johnson | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110 | 2010-05-05 |
1164638920 | Matthew Robert Eberly | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2007-05-15 |
1891712451 | White Bear Foot Clinic Inc | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
Find all providers in zip 55110 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467879684 | White Bear Foot and Ankle Clinic Inc | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | 2014-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
1114351376 | Katie R Evans | Podiatrist | 616 9th St N, Virginia, MN 55792-2320 | 2013-08-23 |
1750627048 | Cambridge Foot and Ankle Clinic LLC | Podiatrist | 1001 1st Ave E Ste 180, Cambridge, MN 55008-1855 | 2012-12-14 |
1164716387 | Active Feet, Foot & Ankle Health Center | Podiatrist | 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421-3424 | 2011-06-06 |
1063704807 | Midwest Foot and Ankle Specialists, LLC | Podiatrist | 11901 Central Ave Ne, Blaine, MN 55434-3911 | 2011-05-12 |
1215231428 | Robika Hundal | Podiatrist | 6600 Lyndale Ave South, Suite #130, Richfield, MN 55423-3398 | 2011-01-03 |
1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
1407009483 | Aero Podiatrics, Inc. | Podiatrist | 1668 142nd Ct W, Rosemount, MN 55068-3595 | 2008-11-04 |
Find all providers with the same taxonomy |
City | WHITE BEAR LAKE |
Zip Code | 55110 |
Please comment or provide details below to improve the information on CHRISTOPHER M PHILLIPS.
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.