DR. BLAKE GORDON PHIPPS (NPI# 1689084477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689084477 |
| Entity Type | Individual |
| Full Name | DR. BLAKE GORDON PHIPPS |
| Credential | M.D. |
| Practice Address |
4951 W 18th St Lawrence KS 66047 |
| Mailing Address |
4951 W 18th St Lawrence KS 66047-2090 |
| Practice Telephone | 7858416540 |
| Practice Fax Number | 7858413305 |
| Mailing Telephone | 7858416540 |
| Mailing Fax Number | 7858413305 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0441094 | KS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201205020A | 05 |
| Street Address |
4951 W 18TH ST |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396708855 | Carla B Phipps | Family Medicine | 4951 W 18th St, Lawrence, KS 66047 | 2006-04-07 |
| 1528554144 | Jessica Lee Hampton | Family Medicine | 4951 W 18th St, Lawrence, KS 66047-2090 | 2018-07-06 |
| 1821400078 | Kyle Anthony Miller | Family Medicine | 4951 W 18th St, Lawrence, KS 66047-2090 | 2014-05-22 |
| 1245642537 | Amanda Christine Miller | Family Medicine | 4951 W 18th St, Lawrence, KS 66047-2090 | 2014-05-21 |
| 1760616742 | Melissa A Kalb | Family Medicine | 4951 W 18th St, Lawrence, KS 66047-2090 | 2009-05-06 |
| 1558545079 | Sigler and Hubbell LLC | Pharmacy | 4951 W 18th St, Lawrence, KS 66047-2090 | 2007-12-19 |
| 1366654253 | Lawrence Family Practice Center, Pa | Family Medicine | 4951 W 18th St, Lawrence, KS 66047-2090 | 2007-05-04 |
| 1205981263 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 4951 W 18th St, Lawrence, KS 66047-2090 | 2007-01-23 |
| 1467560516 | Mary Vernon | Emergency Medicine | 4951 W 18th St, Lawrence, KS 66047-2090 | 2006-08-28 |
| 1083625818 | Chad D Johanning | Family Medicine | 4951 W 18th St, Lawrence, KS 66047-2090 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239818 | Jd Sigler Publishing Company | Public Health or Welfare | 4951 West 18th Street, Lawrence, KS 66047 | 2018-09-21 |
| 1275063786 | Kathryn Elizabeth Hallacy | Physical Therapist | 3500 Clinton Place, Therapy Services, Lawrence, KS 66047 | 2017-06-16 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1063751592 | Meaghan Palmer | Respite Care | 4101 West 24th Place, #710, Lawrence, KS 66047 | 2013-02-04 |
| 1609098151 | Teakwood Psychological Resources, P.a. | Specialist | 2201 W 25th Street, Suite 0, Lawrence, KS 66047 | 2007-05-03 |
| 1205994910 | Farhang R. Khosh | Acupuncturist | 4935 Research Parkway, Lawrence, KS 66047 | 2006-12-05 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1043310089 | Cynthia Louise Schnacke | Psychologist | Teakwood Psychological Resources, 2201 W. 25th Street, Suite O, Lawrence, KS 66047 | 2006-09-22 |
| 1134225329 | Mark Howarter | Chiropractor | 3320 Clinton Parkway Ct Ste 100, Lawrence, KS 66047 | 2006-09-15 |
| 1952367104 | Marks Physical Therapy | Physical Therapist | 2311 Wakarusa Dr, Ste E, Lawrence, KS 66047 | 2006-04-25 |
| Find all providers in zip 66047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1871932921 | Ashley Elizabeth Bloom | Family Medicine | 3510 Clinton Pkwy Ste 210, Lawrence, KS 66047-2145 | 2013-06-21 |
| 1437597630 | Phillip Andrew Godwin | Family Medicine | 603 Ohio St, Lawrence, KS 66044-2357 | 2013-06-10 |
| 1215254420 | Kathryn Elizabeth Lynch | Family Medicine | 5241 Carson Pl, Lawrence, KS 66049 | 2010-04-27 |
| 1306082102 | Alan L. Cowles | Family Medicine | 1121 Stoneridge Dr, Lawrence, KS 66049-4772 | 2008-12-29 |
| 1558539072 | 5 Towns Family Medical Care | Family Medicine | 275a Rockaway Tpke, Lawrence, NY 11559-1232 | 2008-02-19 |
| 1881881340 | Thomas J. Joyce, D.o., LLC | Family Medicine | 33 Frost Ln, Lawrence, NY 11559-1808 | 2007-09-28 |
| Find all providers in LAWRENCE | ||||
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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.