TIMOTHY JON PHILLIPS (NPI# 1124479712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124479712 |
| Entity Type | Individual |
| Full Name | TIMOTHY JON PHILLIPS |
| Credential | N.P. |
| Practice Address |
11585 Fm 1960 Rd W Suite B Houston TX 77065-3607 |
| Practice Telephone | 8326867656 |
| Mailing Telephone | 8326867656 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131125 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510021 | Timothy Phillips | Technician, Other | 853 N. Sheurmann Rd. Apt.404, Essexville, MI 48732 | 2016-03-10 |
| 1306916655 | Timothy Brown Phillips | Dentist | 111 Monument Circle, Chase Tower Suite 3020, Indianapolis, IN 46204 | 2006-11-08 |
| 1235185091 | Timothy M. Phillips | Anesthesiology | 1313 Broadway Fl 2, Tacoma, WA 98402-3400 | 2006-05-25 |
| 1558349241 | Timothy John Phillips | Family Medicine | Attention: Code 094 Bldg H100, Naval Hospital, Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2006-01-04 |
| 1588661268 | Timothy Warren Phillips | Neurological Surgery | 210 E. Derenne Ave, Savannah, GA 31405 | 2005-07-07 |
| 1477194835 | Timothy Brooks Phillips | Clinical Nurse Specialist | 300 W 10th Ave, Columbus, OH 43210-1280 | 2019-10-07 |
| 1154844637 | Timothy James Phillips | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2017-07-17 |
| 1356878110 | Timothy Phillips | Dentist | 115 Bank St, Lodi, OH 44254-1001 | 2017-05-11 |
| 1902337140 | Timothy Phillips | Physical Therapist | 2009 Holton Rd, Muskegon, MI 49445-1578 | 2017-03-21 |
| 1811359664 | Timothy C Phillips | Counselor | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2016-03-22 |
| Street Address |
11585 FM 1960 RD W SUITE B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023177466 | Med Shop Plus, Inc. | Durable Medical Equipment & Medical Supplies | 11585 Fm 1960 Rd W, Houston, TX 77065-3607 | 2006-12-08 |
| 1083042634 | Cy-fair Pain Intervention | Anesthesiology | 11585 Fm 1960 Rd W, Ste B, Houston, TX 77065-3607 | 2013-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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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.