JONATHAN S PHILLIPS (NPI# 1104974237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104974237 |
| Entity Type | Individual |
| Full Name | JONATHAN S PHILLIPS |
| Credential | DO |
| Practice Address |
5515 Peach St Erie PA 16509-2603 |
| Practice Telephone | 8148688252 |
| Practice Fax Number | 8148688170 |
| Mailing Telephone | 8148688252 |
| Mailing Fax Number | 8148688170 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | OS 0213373 | PA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | OS013373 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101891982 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699075 | Jonathan Phillips | Technician | 254 George St, Beckley, WV 25801-2641 | 2020-11-04 |
| 1770088767 | Jonathan Phillips | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb, 3rd Floor, Louisville, KY 40202 | 2018-03-29 |
| 1417405069 | Jonathan Phillips | Behavioral Analyst | 7617 Liverpool Blvd, Orlando, FL 32807-8517 | 2016-09-12 |
| 1578915245 | Jonathan Phillips | Nurse Anesthetist, Certified Registered | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2016-07-06 |
| 1174933360 | Jonathan Phillips | Pharmacist | 4401 Sheridan St, Hollywood, FL 33021-3513 | 2014-04-28 |
| 1023362407 | Jonathan Blackmore Phillips | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 | 2012-11-06 |
| 1912263229 | Jonathan Jacob Phillips | Anesthesiology | 100 W California Blvd, Pasadena, CA 91105-3010 | 2012-04-11 |
| 1205090974 | Jonathan Winston Phillips | Family Medicine | 7560 Red Bug Lake Rd, Oviedo, FL 32765-6591 | 2008-07-11 |
| 1477764017 | Jonathan Miles Phillips | Social Worker | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-05-25 |
| 1225070642 | Jonathan H. Phillips | Social Worker | 2100 Broadway, Denver, CO 80205-2526 | 2006-06-11 |
| Street Address |
5515 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1942814546 | Zeinab Altaher | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-09-02 |
| 1669086161 | Mikayla Erin Matheny | Pharmacist | 5515 Peach St, Erie, PA 16509-2695 | 2020-09-02 |
| 1467065615 | Ashley Diane Crandall | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-08-27 |
| 1538787221 | Lex Herwen Barte I | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-08 |
| 1831717826 | Usman Ahmed | Internal Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-07 |
| 1871110700 | Peter Vincent Finelli | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-26 |
| 1376160366 | Leng Xiong | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1750908745 | Morgan Michele Gallo | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1124323076 | Portercare Adventist Health System | Internal Medicine | 611 Mitchell Way Ste 103, Erie, CO 80516-5443 | 2011-01-24 |
| 1629235361 | Regional Health Services, Inc. | Internal Medicine | 406 Peach Street, Erie, PA 16507-1417 | 2008-05-20 |
| 1851490577 | Jose Luis Boggio | Internal Medicine | 903 Long Point Dr, Erie, PA 16505-5417 | 2006-09-21 |
| 1649372319 | Rajesh Govindasamy | Internal Medicine | 300 State St Ste 207, Erie, PA 16507-1429 | 2006-09-02 |
| 1134232564 | Norman E Bussell | Internal Medicine | 104 East Second Street, 5th Floor Consultants In Infectious Diseases, Erie, PA 16507 | 2006-08-17 |
| 1235152406 | Bharathi S Voora I | Internal Medicine | 2005 W 8th St, Suite 200, Erie, PA 16505-4759 | 2006-07-26 |
| 1649205816 | Medical Associates of Erie | Internal Medicine | 1 Lecom Pl, Erie, PA 16505-2571 | 2006-07-12 |
| 1427081595 | Glenwood Internal Medicine, LLP | Internal Medicine | 213 East 41st St., Erie, PA 16504 | 2006-07-09 |
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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.