DR. JOEL NATHAN PHILLIPS (NPI# 1639462039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639462039 |
| Entity Type | Individual |
| Full Name | DR. JOEL NATHAN PHILLIPS |
| Credential | D.O. |
| Practice Address |
200 Jefferson Ave Se Grand Rapids MI 49503-4502 |
| Mailing Address |
1900 44th St Se Kentwood MI 49508-5008 |
| Practice Telephone | 6166855231 |
| Practice Fax Number | 6166855260 |
| Mailing Telephone | 6166851808 |
| Mailing Fax Number | 6166858099 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
5101019354 | MI | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
5101019354 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083724207 | Joel Wayne Phillips | Specialist | 708 Druid Rd E, Clearwater, FL 33756-3914 | 2006-08-30 |
| 1023052412 | Joel M Phillips | Occupational Therapist | 2297 S 9th St, Kalamazoo, MI 49009-9462 | 2006-06-15 |
| 1598267585 | Joel Phillips | Orthopaedic Surgery | 36622 Five Mile Rd, Livonia, MI 48154-1900 | 2018-03-06 |
| 1306212659 | Joel Delaney Phillips Jr. | Pharmacist | 10675 Highway 5, Brent, AL 35034-3908 | 2015-08-20 |
| 1518367473 | Joel Kent Phillips | Physician Assistant | 3505 Duluth Park Ln, Suite 400, Duluth, GA 30096-3201 | 2014-08-28 |
| 1225286990 | Joel David Phillips | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 200, Vancouver, WA 98664-3299 | 2008-09-05 |
| 1114013570 | Joel C Phillips | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-10-05 |
| Street Address |
200 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929353 | Grand River Emergency Medical Group Plc | Emergency Medicine | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2005-06-01 |
| 1073130449 | Jessica Goldsworthy | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-07-01 |
| 1851918551 | Lacy J Worden | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-29 |
| 1669099560 | Kamah Ellena | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-26 |
| 1629694344 | Yoad Yechiel Porat | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1851917587 | Danuka Manupriya Ubayasena | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1619593530 | Albert Dongzhou Jiao | Radiology | 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 | 2020-06-17 |
| 1548882046 | Rebecca Tourison | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-05-07 |
| 1942821079 | Breanne Nicole Ranucci | Physician Assistant | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-29 |
| 1750901757 | Nicholas Patrick Callahan | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1518377746 | Audrey Kay Sanders | Psychiatry & Neurology | 220 Cherry St Se # 1, Grand Rapids, MI 49503 | 2014-04-28 |
| 1598101115 | Rebecca Smith Tang | Psychiatry & Neurology | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2013-05-22 |
| 1497901110 | Jahandar Saifollahi | Psychiatry & Neurology | Saddle Back Center, Building 751-e Kenmore Avenue, S.e., Grand Rapids, MI 49546-2391 | 2008-08-13 |
| 1528008281 | Herman Sullivan | Psychiatry & Neurology | 200 Cherry St Se, Grand Rapids, MI 49503 | 2006-06-08 |
| 1144269432 | Rajeev Deveshwar | Psychiatry & Neurology | 25 Michigan St Ne Ste 6100, Spectrum Health Medical Group Neurovascular/stroke Offi, Grand Rapids, MI 49503-2561 | 2006-06-05 |
| 1881641694 | Timothy Thoits | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2006-05-27 |
| 1255388062 | John Visser | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 | 2006-05-27 |
| 1295792026 | Neurological Associates of West Mi, PC | Psychiatry & Neurology | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2006-04-26 |
| 1467427088 | Evelyn Panagsagan Navarro | Psychiatry & Neurology | 3200 Eagle Park Dr Ne Ste 103, Grand Rapids, MI 49525 | 2006-02-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on DR. JOEL NATHAN 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.