DR. JOEL WAYNE PHILLIPS (NPI# 1083724207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083724207 |
| Entity Type | Individual |
| Full Name | DR. JOEL WAYNE PHILLIPS |
| Credential | M.D. |
| Practice Address |
708 Druid Rd E Clearwater FL 33756-3914 |
| Practice Telephone | 7274461097 |
| Practice Fax Number | 7274412195 |
| Mailing Telephone | 7274461097 |
| Mailing Fax Number | 7274412195 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0025848 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038210800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023052412 | Joel M Phillips | Occupational Therapist | 2297 S 9th St, Kalamazoo, MI 49009-9462 | 2006-06-15 |
| 1598267585 | Joel Phillips | Orthopaedic Surgery | 36622 Five Mile Rd, Livonia, MI 48154-1900 | 2018-03-06 |
| 1306212659 | Joel Delaney Phillips Jr. | Pharmacist | 10675 Highway 5, Brent, AL 35034-3908 | 2015-08-20 |
| 1518367473 | Joel Kent Phillips | Physician Assistant | 3505 Duluth Park Ln, Suite 400, Duluth, GA 30096-3201 | 2014-08-28 |
| 1639462039 | Joel Nathan Phillips | Psychiatry & Neurology | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2011-05-18 |
| 1225286990 | Joel David Phillips | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 200, Vancouver, WA 98664-3299 | 2008-09-05 |
| 1114013570 | Joel C Phillips | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-10-05 |
| Street Address |
708 DRUID RD E |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316255128 | Dr. J. Wayne Phillips Md Pa | Specialist | 708 Druid Rd E, Clearwater, FL 33756-3914 | 2010-09-15 |
| 1518021203 | Teresa B. White | Nurse Practitioner | 708 Druid Rd E, Clearwater, FL 33756-3914 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| 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 |
|---|---|---|---|---|
| 1902431158 | James Robert Cook Jr. | Specialist | 2481 Sunset Point Rd, Clearwater, FL 33765-1514 | 2020-03-09 |
| 1215475587 | Daureen Pruszynski | Specialist | 2753 Highway 580, Suite 205, Clearwater, FL 33761-3345 | 2017-02-07 |
| 1598149072 | Kevin Christopher Votta | Specialist | 13825 Icot Blvd, Suite 600, Clearwater, FL 33760-3712 | 2015-07-15 |
| 1508153958 | April Ann Cook | Specialist | 600 Lakeview Rd., Suite E, Clearwater, FL 33756 | 2011-07-06 |
| 1700196516 | David F Abbott Jr. | Specialist | 2225 Building 37 Apt 102, Clearwater, FL 33764 | 2010-10-14 |
| 1811219553 | Ruth Marie Schopper-hughes | Specialist | 1721 Carlisle St, Clearwater, FL 33755-2306 | 2010-02-23 |
| 1245566991 | Jesse Ira Palmer | Specialist | 1621 Gulf Blvd Apt 501, Clearwater, FL 33767-2905 | 2009-10-29 |
| 1841422441 | Crystal Bay Radiology Pa | Specialist | 2568 Sweetgum Way W, Clearwater, FL 33761-3922 | 2009-08-14 |
| 1689808560 | Merle Annette Mullin | Specialist | 2401 Harn Blvd, Clearwater, FL 33764 | 2009-05-07 |
| 1558507772 | Charlene A Portman | Specialist | 754 N Belcher Rd, Clearwater, FL 33765-2138 | 2008-12-17 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.