DR. HEATHER PHILLIPS (NPI# 1083973804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083973804 |
| Entity Type | Individual |
| Full Name | DR. HEATHER PHILLIPS |
| Credential | M.D. |
| Practice Address |
2165 White Bear Ave N Maplewood MN 55109-2707 |
| Mailing Address |
8170 33rd Ave S Minneapolis MN 55425-4516 |
| Practice Telephone | 6515239800 |
| Mailing Telephone | 6515239800 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 60310 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602152 | Heather L Phillips | Massage Therapist | 3021 Regal Dr, Mcdonough, GA 30253-8609 | 2020-09-03 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1144776766 | Heather Deaun Phillips | Peer Specialist | 1807 W Parkview Ave, Duncan, OK 73533-1711 | 2016-09-01 |
| 1205000700 | Heather A Phillips | Counselor | 3335 Ash Hopper Ln, Colorado Springs, CO 80906-6215 | 2008-04-15 |
| 1063420560 | Heather Ann Phillips | Counselor | 18 E Mechanic St, Shelbyville, IN 46176-1318 | 2006-08-03 |
| 1164448924 | Heather Renee Phillips | Optometrist | 1372 Ne 163rd St, North Miami Beach, FL 33162-4623 | 2006-07-14 |
| 1699375261 | Heather Lynn Phillips | Pharmacist | 5025 Winters Chapel Rd, Dunwoody, GA 30360-1700 | 2020-10-31 |
| 1306316336 | Heather Phillips | Social Worker | 221 Willow St, Yarmouth Port, MA 02675-1770 | 2018-12-03 |
| 1023499472 | Heather Phillips | Speech-Language Pathologist | 4 N Double Springs Rd, Farmington, AR 72730-2522 | 2015-06-11 |
| 1922499003 | Heather Phillips | Clinical Exercise Physiologist | 2045 Franklin St, Treadmill Department, Denver, CO 80205-5437 | 2015-02-11 |
| Street Address |
2165 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714455 | Byron J Marquez | Family Medicine | 2165 White Bear Ave N, Maplewood, MN 55109 | 2006-03-20 |
| 1205311156 | Jessica Anne Lemker | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-26 |
| 1962986927 | Group Health Plan, Inc | Clinic/Center | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-17 |
| 1023557352 | Jennifer Novak | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2017-02-20 |
| 1659822146 | Group Health Plan, Inc | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-10-19 |
| 1346797404 | Sheri Michelle Madison | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-09-07 |
| 1528417490 | Andrea Brekke | Social Worker | 2165 White Bear Ave N, Maplewood, MN 55109 | 2016-06-10 |
| 1447628086 | Gina Shults | Physician Assistant | 2165 White Bear Ave N, Maplewood, MN 55109 | 2015-09-14 |
| 1619377835 | Ashley Elizabeth Diamond | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-08-25 |
| 1164836821 | Elizabeth Placzek | Pediatrics | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609290824 | Aura Knox-mask | General Practice | 18 Broadview Ave, Maplewood, NJ 07040-3612 | 2014-02-07 |
| 1053507566 | Marven Wallen & S. Kenneth Jacobson, Md Pa | General Practice | 1985 Springfield Ave, Maplewood, NJ 07040-3435 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
| 1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
| 1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
| 1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
| 1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
| 1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
| Find all providers with the same taxonomy | ||||
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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.