DR. CHARLES D PHILLIPS (NPI# 1083639629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083639629 |
| Entity Type | Individual |
| Full Name | DR. CHARLES D PHILLIPS |
| Credential | M.D. |
| Practice Address |
314 Se Hospital Ave Stuart FL 34994-2338 |
| Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
| Practice Telephone | 7722235903 |
| Practice Fax Number | 7722235914 |
| Mailing Telephone | 7722232832 |
| Mailing Fax Number | 7722235646 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0013388 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL BLUE | 43060 | 01 |
| FL | 276747300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703147 | Charles Vance Phillips Iv | Massage Therapist | 25 Cherokee Blvd Ste C, Chattanooga, TN 37405-3838 | 2017-11-08 |
| 1598064636 | Charles Phillips | Family Medicine | 6045 Carlisle Ln, 6045 Carlisle Ln, Alpharetta, GA 30022-6281 | 2011-03-15 |
| 1093735011 | Charles W Phillips | Optometrist | 4311 W Wadley Ave, Midland, TX 79707-5457 | 2006-07-20 |
| 1902891872 | Charles M Phillips | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Greenville, NC 27834-2849 | 2005-09-15 |
| 1023017548 | Charles Bailey Phillips Jr. | Chiropractor | 4045 Vineville Ave, Macon, GA 31210-5039 | 2005-07-18 |
| 1891791299 | Charles Vincent Phillips | Surgery | 3838 San Dimas St, Ste B-231, Bakersfield, CA 93301-2284 | 2005-06-22 |
| 1538164298 | Charles T Phillips | Physician Assistant | 250 Nash Medical Arts Mall, Suite D, Rocky Mount, NC 27804-1470 | 2005-06-17 |
| 1760872808 | Charles Henry Phillips IIi | Physician Assistant | 915 N Greensboro St, Lexington, NC 27292-2699 | 2015-01-28 |
| 1811312986 | Charles Andrew Phillips | Internal Medicine | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2014-02-26 |
| 1265722953 | Charles Allen Phillips | Pediatrics | 3401 Civic Center Blvd, Divisions of Hematology and Oncology, Philadelphia, PA 19104-4319 | 2011-04-14 |
| Street Address |
314 SE HOSPITAL AVE |
| City | STUART |
| State | FL |
| Zip Code | 34994-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349773 | Mark Stephen Beatty | Surgery | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2005-07-09 |
| 1326327768 | Allison Marie Riegelman | Nurse Practitioner | 314 Se Hospital Ave, Stuart, FL 34994 | 2011-08-16 |
| 1508874132 | Julio Sanguily Jr. | Surgery | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-08-03 |
| 1316975071 | Martin Cardiovascular Diagnostics | Clinic/Center | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-06-29 |
| 1790738078 | Valerie Ann Ryan | Family Medicine | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| 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 |
|---|---|---|---|---|
| 1952859001 | Amanda Helms | Specialist | 2077 Sw Panther Trce, Stuart, FL 34997-4850 | 2016-09-19 |
| 1033583877 | Donna Suares | Specialist | 524 Sw Saint Lucie Cres Apt 206, Stuart, FL 34994-2859 | 2015-11-17 |
| 1164737409 | Sung Chou Chen | Specialist | 1276 Nw Federal Hwy, Stuart, FL 34994-1002 | 2010-08-11 |
| 1396072898 | Cheryl Griffith Edney | Specialist | 6620 Sw Gaines Ave, Stuart, FL 34997-6219 | 2009-11-04 |
| 1730337999 | Bette G Bell | Specialist | 355 Howell Bottom Ln, Stuart, VA 24171-3996 | 2008-08-29 |
| 1467612473 | Deborah Ann Demarta | Specialist | 218 Sw Atlanta Ave, Stuart, FL 34994-2034 | 2008-06-12 |
| 1497913214 | Behavior Basics, Incorporated | Specialist | 1016 Se Fleming Way, Stuart, FL 34997-1558 | 2008-05-29 |
| 1447446745 | Therapeutic Massage, Inc. | Specialist | 413 California Ave, Stuart, FL 34994-2917 | 2007-09-20 |
| 1225233356 | Angela May Schwinger | Specialist | 102 Ne 2nd St., Stuart, IA 50250 | 2007-06-19 |
| 1295938322 | Timothy Stanley O'brien | Specialist | 2641 Se Ocean Blvd, Stuart, FL 34996-3401 | 2007-06-06 |
| Find all providers in STUART | ||||
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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.