MICHAEL R PHILLIPS (NPI# 1619904513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619904513 |
| Entity Type | Individual |
| Full Name | MICHAEL R PHILLIPS |
| Credential | M.D. |
| Practice Address |
1265 S. Utica Ave. Ste. 105 Tulsa OK 74104-4243 |
| Practice Telephone | 9187496400 |
| Practice Fax Number | 9187492168 |
| Mailing Telephone | 9187496400 |
| Mailing Fax Number | 9187492168 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 29306 | OK | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118211 | MO | Allopathic & Osteopathic Physicians |
| 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 |
1265 S. UTICA AVE. STE. 105 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538245691 | Kristina M Johnson | Specialist/Technologist, Other | 1265 S. Utica Ave., Suite 105, Tulsa, OK 74104-4243 | 2006-10-31 |
| 1205919453 | Tonja Branham | Specialist/Technologist, Other | 1265 S. Utica Ave., Suite 105, Tulsa, OK 74104-4243 | 2006-10-23 |
| 1235211319 | Syavosh Afshari | Registered Nurse | 1265 S. Utica Ave., Suite 105, Tulsa, OK 74104-4243 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083918668 | Billy Paul Loughridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 S. Utica Ave, Tulsa, OK 74152-1057 | 2010-12-22 |
| 1245390863 | John Franco A Carabello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave Ste 200, Tulsa, OK 74127-9047 | 2006-12-12 |
| 1962510438 | Osteopathic Cardiovascular Surg Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson #200, Tulsa, OK 74127-9047 | 2006-08-26 |
| 1740215292 | Robert Garrett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6465 S Yale Ave Ste 910, Tulsa, OK 74136-7823 | 2006-07-12 |
| 1902262421 | Lp Dullye Management, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave, Suite 200, Tulsa, OK 74127-9015 | 2016-01-13 |
| 1073942975 | Warren Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-11-01 |
| 1629386529 | Vein Care Center of Oklahoma Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1-302, Tulsa, OK 74136-1907 | 2010-09-14 |
| 1922323146 | John Mark Weber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2010-03-30 |
| 1578715454 | George M Comas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1923 S Utica Ave Fl 5, Tulsa, OK 74104 | 2008-10-22 |
| 1003063173 | Peter Ungjo Baik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10109 E. 79th Street, Cancer Treatment Centers of America, Tulsa, OK 74133 | 2008-08-20 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on MICHAEL R PHILLIPS.
| 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.