DR. MICHAEL JEROME PHILLIPS (NPI# 1417919044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417919044 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JEROME PHILLIPS |
| Credential | M.D. |
| Practice Address |
3110 Wellons Blvd Suite C New Bern NC 28562-5247 |
| Mailing Address |
Po Box 602522 Charlotte NC 28260-2522 |
| Practice Telephone | 2526382515 |
| Practice Fax Number | 2526388538 |
| Mailing Telephone | 2526382515 |
| Mailing Fax Number | 2526388538 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 38408 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8967661 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1013312578 | Michael Phillips Jr. | Counselor | 11 Ward St Ste 200, Somerville, MA 02143-4214 | 2014-10-27 |
| 1790035707 | Michael Kenneth Phillips | Military Health Care Provider | 623 Pusan Dr, Oceanside, CA 92058-8149 | 2012-09-17 |
| 1992099600 | Michael Zachary Phillips | Emergency Medicine | 175 Cheney Ave, Harpers Ferry, WV 25425-6343 | 2011-05-31 |
| 1689970535 | Michael G. Phillips | Military Health Care Provider | 2621 Las Brisas St, Corpus Christi, TX 78414-5014 | 2011-02-09 |
| 1750437265 | Michael Phillips | Counselor | 506 Ne Thompson St, Portland, OR 97212-3843 | 2007-01-26 |
| 1730234709 | Michael Phillips | Specialist | 9253 Hermosa Ave, Ste C, Rancho Cucamonga, CA 91730-5854 | 2007-01-23 |
| 1699845974 | Michael Stuart Phillips | Internal Medicine | 545 1st Ave, Nyu Medical Center, Greenberg Hall, Room Sc-132, New York, NY 10016-6401 | 2006-11-08 |
| 1225124837 | Michael Phillips | Chiropractor | 34734 Vine St, Willowick, OH 44095-5120 | 2006-10-04 |
| Street Address |
3110 WELLONS BLVD SUITE C |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997485 | Thomas R Grant | Specialist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-01-20 |
| 1750790416 | Deanna Michelle Nickerson | Audiologist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2014-08-07 |
| 1306257902 | Elizabeth Bell | Specialist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2014-05-16 |
| 1104163948 | Shannon Dee Swink | Audiologist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2013-01-14 |
| 1275879439 | Carolinaeast Physicians | Family Medicine | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2012-12-17 |
| 1699036020 | Scott Allen Hardison | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2012-06-01 |
| 1134256035 | Terry Allen Hall | Audiologist | 3110 Wellons Blvd, New Bern, NC 28562 | 2007-02-27 |
| 1871679753 | Gregory Scott Mcnabb | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-10-31 |
| 1184663981 | John Patterson Arrowood Jr. | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-06 |
| 1992744791 | Henry John Macdonald Jr. | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699036020 | Scott Allen Hardison | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2012-06-01 |
| 1871679753 | Gregory Scott Mcnabb | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-10-31 |
| 1184663981 | John Patterson Arrowood Jr. | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-06 |
| 1992744791 | Henry John Macdonald Jr. | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-06 |
| 1912945908 | Richard Dwight Grady | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-03 |
| 1033157615 | Coastal Ear Nose & Throat Associates Pllc | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-03 |
| 1467427757 | Howard William Loveless | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605888 | Inbal Hazkani Bendror | Otolaryngology | 1217 Mossy Glade Cir, Apex, NC 27502-4874 | 2019-12-05 |
| 1174183156 | Queen City Ear Nose and Throat Pllc | Otolaryngology | 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 | 2019-06-20 |
| 1194244012 | Ethan Staats | Otolaryngology | 391 Heaton Forest Rd, Cashiers, NC 28717 | 2017-09-12 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1598151763 | Adam Richard Gigliotti | Otolaryngology | 400 E Stonewall St, Charlotte, NC 28202-3601 | 2015-04-14 |
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1073937942 | John Monroe | Otolaryngology | 525 Hardee Branch Rd, West End, NC 27376-8961 | 2014-02-12 |
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1457794927 | Amanda Jo Lott Marcellino | Otolaryngology | 1132 N Church St Ste 200, Greensboro, NC 27401 | 2013-04-15 |
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
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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.