Todd M Phillips (NPI# 1205122660, PAC ID# 4385872902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1205122660 |
| PAC ID by PECOS | 4385872902 |
| Professional Enrollment ID | I20170121000024 |
| Full Name | Todd M Phillips |
| Organization Legal Name | INTEGRATIVE EMERGENCY SERVICES PHYSICIAN GROUP PA |
| Address |
1500 S Main St 1st Fl Outpatient Ft. Worth TX 76104-4917 |
| Phone Number | 8177021451 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | MEDICAL TOXICOLOGY |
| Group Practice PAC ID | 0749447936 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450039 | JPS HEALTH NETWORK |
| Address | Phone | Organization |
|---|---|---|
| 1500 S Main St, 1st Fl Outpatient, Ft. Worth, TX 76104-4917 | 8177021451 | INTEGRATIVE EMERGENCY SERVICES PHYSICIAN GROUP PA |
| Organization Legal Name | INTEGRATIVE EMERGENCY SERVICES PHYSICIAN GROUP PA |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly A Phillips | Emergency Medicine | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Mary A Johnson | Nurse Practitioner | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Kali A Lester | Physician Assistant | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Heidi C Knowles | Emergency Medicine | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Kirby Erin Tinsley | Physician Assistant | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Hunter P Langley | Nurse Practitioner | Integrative Emergency Services Physician Group Pa | 1500 S Main St, 1st Fl Outpatient, Ft. Worth, TX 76104-4917 |
| Nicole N. Nguyen | Family Medicine | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Oluwayemisi O Agboola | Nurse Practitioner | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Heather Gerarde | Nurse Practitioner | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Michelle M Nash | Nurse Practitioner | Integrative Emergency Services Physician Group Pa | 1575 S Main St, Jps Emergency, Fort Worth, TX 76104-4901 |
| Street Address |
1500 S MAIN ST 1ST FL OUTPATIENT |
| City | FT. WORTH |
| State | TX |
| Zip | 76104-4917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali H Sheikh | Cardiovascular Disease (cardiology) | Edward W Sparrow Hospital Association | 1500 S Main St, Thoracic and Cardiovascular Institute, Eaton Rapids, MI 48827-1952 |
| Craig E Pannell | Nurse Practitioner | My Health My Resources of Tarrant County | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Leonard D Morgan | Anesthesiology | Sheridan Healthcare of North Texas Pa | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Larry J Lutz | Certified Registered Nurse Anesthetist (crna) | Eaton Rapids Medical Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Dongkun J Chang | Pathology | Propath Associates Pllc | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Dayakar Kancherla | Hospitalist | Hospitalist Medicine Physicians of Texas Pllc | 1500 S Main St, John Peter Smith Hospital, Fort Worth, TX 76104-4917 |
| Sudhir N. Bolar | Anesthesiology | Sheridan Healthcare of North Texas Pa | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Nicholas Minh Vuong | Anesthesiology | Sheridan Healthcare of North Texas Pa | 1500 S Main St, Fort Worth, TX 76104-4917 |
| Akwaugo Thelma Uzoegwu | Internal Medicine | Hospitalist Medicine Physicians of Texas Pllc | 1500 S Main St, John Peter Smith Hospital, Fort Worth, TX 76104-4917 |
| Pavithra Giri Chandra Reddy | Internal Medicine | Hospitalist Medicine Physicians of Texas Pllc | 1500 S Main St, John Peter Smith Hospital, Fort Worth, TX 76104-4917 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FT. WORTH |
| Zip Code | 76104 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FT. WORTH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Todd M Phillips.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.