JESSE E PHILLIPS


Address: 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7553
Phone: 7723989911

JESSE E PHILLIPS (NPI# 1457351983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457351983
Entity Type Individual
Full Name JESSE E PHILLIPS
Credential MD
Practice Address 1801 Se Hillmoor Dr
Suite B105
Port St Lucie
FL 34952-7553
Mailing Address 1801 Se Hillmoor Dr
Suite B105
Port St Lucie
FL 34952-7545
Practice Telephone 7723989911
Practice Fax Number 7723984374
Mailing Telephone 7723989911
Mailing Fax Number 7723984374
Enumeration Date 2005-07-27
Last Update Date 2015-01-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 01040385A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100462620A 05
IN ANTHEM BCBS 00000209641 01

Other Providers JESSE PHILLIPS

NPI Name Taxonomy Address Enumeration
1033763693 Jesse Phillips Jr. Behavior Technician 1050 Fulton Ave Ste 235, Sacramento, CA 95825-4299 2019-07-31
1366930851 Jesse Lee Phillips Jr. Behavior Technician 610 Bercut Dr, Sacramento, CA 95811-0115 2018-04-30
1265788897 Jesse Sebring Phillips Physical Therapist 6801 Park Ter, 2nd Floor, Los Angeles, CA 90045-1543 2012-08-01

Office Location

Street Address 1801 SE HILLMOOR DR
SUITE B105
City PORT ST LUCIE
State FL
Zip Code 34952-7553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811994742 Prithvi Raj Sawh Pediatrics 1801 Se Hillmoor Dr, Suite A105, Port St Lucie, FL 34952-7553 2005-07-07
1851814008 Ashley Medora Le Grange Counselor 1801 Se Hillmoor Dr, Port St Lucie, FL 34952-7553 2017-07-19
1972040616 Marvalee Allison Nurse Practitioner 1801 Se Hillmoor Dr, 108, Port St Lucie, FL 34952-7553 2017-01-19
1689127201 Midway Ultrasound Diagnostic Services Clinic/Center 1801 Se Hillmoor Dr, Port St Lucie, FL 34952-7553 2016-07-31
1316490931 Edward Francis Crooks Spec/Tech, Cardiovascular 1801 Se Hillmoor Dr, Suite C-207, Port St Lucie, FL 34952-7553 2016-07-31
1477967834 Leriche Famius Louis Nurse Practitioner 1801 Se Hillmoor Dr, Suite B109, Port St Lucie, FL 34952-7553 2014-06-13
1306274998 Accredited Medical Providers LLC Urology 1801 Se Hillmoor Dr, Suite A-103, Port St Lucie, FL 34952-7553 2013-10-17
1417383803 Marvin Ishmeal Cohen Nurse Practitioner 1801 Se Hillmoor Dr, Suite B-105, Port St Lucie, FL 34952-7553 2013-09-18
1306278494 Cherryl Williams Acupuncturist 1801 Se Hillmoor Dr, Suite 109-b, Port St Lucie, FL 34952-7553 2013-07-31
1962774018 Allergy Specialists of Palm Beaches Allergy & Immunology 1801 Se Hillmoor Dr, C107, Port St Lucie, FL 34952-7553 2012-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215587068 Carehere LLC Family Medicine Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 2019-09-13
1255998274 Morningside Alf Assisted Living Facility 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 2019-05-24
1336611870 Med Braces and Supplies, LLC Durable Medical Equipment & Medical Supplies 1484 Se Village Green Dr, Port St Lucie, FL 34952 2018-12-21
1689143794 The Gift of Recovery, LLC Counselor 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 2018-11-19
1457830853 Cathy L Sonier Counselor 357 Brazilian Circle, Port St Lucie, FL 34952 2018-08-07
1548756661 Blo 7 Diabetes Institute Inc Nutritionist 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 2018-07-02
1780194464 Doctor's Choice Medical Center Clinic/Center 9164 S Us Highway 1, Port St Lucie, FL 34952 2017-10-06
1801305644 Thandiwe Daley Behavior Technician 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 2017-09-25
1700309408 Lagrand Evan Andrews Assistant Behavior Analyst 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 2017-07-25
1578085148 Lavetta S Ivey Behavior Technician 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 2017-07-14
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790057859 William Bernard Bass Otolaryngology 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952-7545 2012-02-06
1396703856 Daniel J Zaluzec Otolaryngology 1801 Se Hillmoor Dr Ste C-110, Port St Lucie, FL 34952-7575 2006-05-03
1538209515 Kenneth Weiss Otolaryngology 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952-5630 2007-02-07
1932267663 John T Lanza Otolaryngology 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7545 2006-12-05
1922066216 James L. Autin, M.d.,p.a. Otolaryngology 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952-5630 2006-05-03
1184681330 Drs Berghash & Lanza Pl Otolaryngology 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7545 2006-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447870977 Shanmugasundaram, Venkatachalam Otolaryngology 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 2020-04-24
1851910517 Daniel Oswaldo Manrique Otolaryngology 325 Saddle Ridge Dr, Davenport, FL 33896-8176 2020-04-13
1932735768 Martin Alvin Shugar Otolaryngology 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 2020-03-12
1396219242 North Broward Hospital Distric T Otolaryngology 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 2019-01-14
1356811194 Donald Lee Roberts Otolaryngology 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 2018-12-04
1275022238 Mary Teresa Garrish Otolaryngology 405 Sims Way, Merritt Island, FL 32952-5233 2018-05-05
1437658671 Baptist Ent Specialists Inc Otolaryngology 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 2018-02-02
1467970368 Portela E.n.t., Pa Otolaryngology 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 2017-08-31
1427414358 Rufus Madison Holloway Jr. Otolaryngology 1616 Lake Shore Drive, Orlando, FL 32803 2016-01-07
1609253178 Sumeet Bhanot Md Pa Otolaryngology 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 2015-05-04
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Competitor

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City PORT ST LUCIE
Zip Code 34952

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Dataset Information

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.

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