J DUNCAN PHILLIPS (NPI# 1376636548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376636548 |
| Entity Type | Individual |
| Full Name | J DUNCAN PHILLIPS |
| Practice Address |
3024 New Bern Ave Suite 302 Raleigh NC 27610 |
| Practice Telephone | 9193508797 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 9901287 | NC | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
9901287 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891222G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093986317 | J Jeffrey Phillips | Radiologic Technologist | 1143 Brick Rd, Loretto, PA 15940-8207 | 2008-03-14 |
| 1114926797 | J William Phillips IIi | Internal Medicine | 1655 Bernardin Ave Ste 220, Columbia, SC 29204-2044 | 2005-07-18 |
| Street Address |
3024 NEW BERN AVE SUITE 302 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982269346 | Wakemed Specialists Group, LLC | Surgery | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225525538 | Jessica Marie Pierce | Surgery | 1900 Randolph Rd Ste 210, Charlotte, NC 28207-1106 | 2018-04-23 |
| 1750695078 | Pamela Artise Patrick-roberts | Surgery | N Carolina Baptist Hospital, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-07-28 |
| 1346376423 | Daniel Andrew Bambini | Surgery | 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 | 2007-02-26 |
| 1821085838 | Gregory Hoy | Surgery | 105 Wando Cir, Hertford, NC 27944-8951 | 2005-10-04 |
| 1194157388 | Carolinas Physicians Network Inc | Surgery | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2013-07-30 |
| 1730520396 | Carolinas Physicians Network Inc | Surgery | 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 | 2013-07-11 |
| 1134447378 | Carolina Healthcare Associates Inc | Surgery | 2131 S 17th St, Wilmington, NC 28401-7407 | 2010-05-12 |
| 1740441088 | Leah M Sieren | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-06-19 |
| 1275741076 | Graham Harvey Cosper | Surgery | 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 | 2007-05-18 |
| 1669691168 | Jeffrey Dehmer | Surgery | 2131 S 17th St, Wilmington, NC 28401-7407 | 2007-04-24 |
| 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.