PHILLIPS MEDICINE LLC (NPI# 1235653882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235653882 |
| Entity Type | Organization |
| Organization Name | PHILLIPS MEDICINE LLC |
| Practice Address |
1011 Sheridan Road Redfield AR 72132 |
| Mailing Address |
Po Box 20146 White Hall AR 71612-0146 |
| Practice Telephone | 5013972604 |
| Practice Fax Number | 5013972645 |
| Mailing Telephone | 5013972604 |
| Mailing Fax Number | 5013972645 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | TRACY PHILLIPS (PHYSICIAN) |
| Authorized Official Telephone | 5013972604 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1011 SHERIDAN ROAD |
| City | REDFIELD |
| State | AR |
| Zip Code | 72132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269561 | Trifecta Care | Registered Nurse | 1017 Evening Sunset Circle, Redfield, AR 72132 | 2020-06-12 |
| 1275937526 | Megan Wilson | Pharmacist | 1017 Highway 46, Redfield, AR 72132 | 2014-10-15 |
| 1124224928 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 113 W River Rd, Redfield, AR 72132 | 2007-06-27 |
| 1316908213 | Jim Eldren Taylor | Optometrist | 4284 Stegecoach Rd, Redfield, AR 72132 | 2006-03-30 |
| 1164079653 | Dewana Sue May | Technician | 2004 Wolfe Road, Redfield, AR 72132-0123 | 2019-08-20 |
| 1093863037 | Redfield Pharmacy Mangement LLC | Pharmacy | 1017 Sheridan Road #3, Redfield, AR 72132-0326 | 2007-01-08 |
| 1619216850 | Jessica Lindsay Jackson | Specialist/Technologist | 2905 River Rd, Redfield, AR 72132-9105 | 2013-02-07 |
| 1568916450 | Olivia Roberts | Occupational Therapy Assistant | 1000 Ruby Dr, Redfield, AR 72132-9118 | 2016-08-08 |
| 1376153544 | Melanie Shevonne Bolen | Nurse Practitioner | 1207 Donna Dr, Redfield, AR 72132-9133 | 2020-08-03 |
| 1215561642 | Shawn Gasaway | Nurse Practitioner | 1500 N Highway 365, Redfield, AR 72132-9209 | 2020-02-25 |
| Find all providers in zip 72132 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
| 1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
| 1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| 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.