HARRY PURSELL PHILLIPS (NPI# 1306942453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306942453 |
Entity Type | Individual |
Full Name | HARRY PURSELL PHILLIPS |
Credential | CPO |
Practice Address |
120 William Penn Plz Durham NC 27704-2150 |
Practice Telephone | 9192205255 |
Practice Fax Number | 9192206971 |
Mailing Telephone | 9192205255 |
Mailing Fax Number | 9192206971 |
Enumeration Date | 2006-09-16 |
Last Update Date | 2007-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | CPO00968 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 224P00000X | Prosthetist | CPO00968 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 9190716 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447334339 | Harry Phillips | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
1588651954 | Harry V. Phillips IIi | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2005-09-30 |
Street Address |
120 WILLIAM PENN PLZ |
City | DURHAM |
State | NC |
Zip Code | 27704-2150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376548420 | Laura Reed Gerstner | Physician Assistant | 120 William Penn Plz, Durham, NC 27704-2150 | 2005-06-16 |
1861093494 | Tyler Knabe | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-11-02 |
1366059594 | Hope R Caddell | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-10-01 |
1881203461 | Sarah Lynne Duncan | Physician Assistant | 120 William Penn Plz, Durham, NC 27704-2150 | 2020-07-29 |
1023504263 | Diana Lavinder Nguyen | Specialist/Technologist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-07-10 |
1902308976 | Mackenzie Mallrey Eldridge | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-03-06 |
1659870319 | Alyssa Crumpton Flowers | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2018-02-08 |
1871010819 | Jared John Carl Gersch | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2017-08-29 |
1013437060 | Diana Marie Frank | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2017-06-21 |
1194173096 | Mark Geise | Physical Therapist | 120 William Penn Plz, Durham, NC 27704-2150 | 2016-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
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Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
1023574068 | Cody Reimers | Prosthetist | Duke University Medical Center M04 Davison Bldg, Durham, NC 27710-0001 | 2019-02-14 |
1205956422 | Scott P Mcallister | Prosthetist | 105 Newsom St Ste 105, Durham, NC 27704-2197 | 2007-03-30 |
1669597738 | Michael Wilkerson | Prosthetist | 3885 Dumc, Durham, NC 27710-0001 | 2007-03-20 |
1285759340 | Glenn Hostetter Jr. | Prosthetist | 3885 Dumc, Durham, NC 27710-0001 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
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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.