DR. OWEN P. PHILLIPS (NPI# 1023075611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023075611 |
| Entity Type | Individual |
| Full Name | DR. OWEN P. PHILLIPS |
| Credential | MD |
| Practice Address |
6215 Humphreys Blvd Ste 201 Memphis TN 38120-2382 |
| Mailing Address |
877 Jefferson Ave Attn: Provider Enrollment Memphis TN 38103-2807 |
| Practice Telephone | 9018668085 |
| Practice Fax Number | 9015153429 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
20192 | TN | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
20192 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3050806 | 05 |
| Street Address |
6215 HUMPHREYS BLVD STE 201 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477005577 | Charity Renee Abdu | Nurse Practitioner | 6215 Humphreys Blvd Ste 201, Memphis, TN 38120-2382 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518924042 | Robert S Wilroy | Medical Genetics | 1407 Union Avenue, Suite 200, Memphis, TN 38104-3600 | 2006-04-27 |
| 1861897241 | Kerri Bosfield | Medical Genetics | 51 N Dunlap St, Memphis, TN 38105-4625 | 2014-10-28 |
| 1194963967 | Chimene Kesserwan | Medical Genetics | 262 Danny Thomas Pl, Memphis, TN 38105 | 2009-01-31 |
| 1205973849 | Michael Francis Walsh | Medical Genetics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-01-31 |
| 1447330873 | Chester Brown | Medical Genetics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2006-10-17 |
| 1306804422 | Jewell C Ward | Medical Genetics | 51 N Dunlap St, Memphis, TN 38105 | 2006-05-01 |
| 1902863582 | Eniko K Pivnick | Medical Genetics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578690806 | Tiffanee A Lenzi | Medical Genetics | 2201 Murphy Ave Ste 210, Nashville, TN 37203-1872 | 2007-02-27 |
| 1003962002 | Carmen B Lozzio | Medical Genetics | 1928 Alcoa Hwy Ste B-206, Knoxville, TN 37920 | 2007-01-25 |
| 1003863580 | Associated Pathologists, LLC | Medical Genetics | 5301 Virginia Way Ste 300, Brentwood, TN 37027-7542 | 2006-05-28 |
| 1851378426 | Lea K Parsley | Medical Genetics | 1751 Gunbarrel Rd Ste 101, Chattanooga, TN 37421-7162 | 2005-12-27 |
| 1962800912 | University Health System, Inc | Medical Genetics | 1930 Alcoa Hwy, Ste 235, Knoxville, TN 37920-1500 | 2014-12-08 |
| 1740534023 | Clinical Cytogenetic Services | Medical Genetics | 1928 Alcoa Hwy, Suite B-206, Knoxville, TN 37920-1502 | 2012-11-07 |
| 1588984561 | Jared Austin Hamm | Medical Genetics | 2018 Clinch Avenue, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2010-06-01 |
| 1093892002 | Jeffrey Roser Smith | Medical Genetics | 1310 24th Ave S, Va Tennessee Valley Healthcare System, Nashville, TN 37212 | 2006-11-01 |
| 1326122441 | Rizwan Hamid | Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-25 |
| 1609963735 | Debra Freedenberg | Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. OWEN P. 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.