MR. MICHAEL KENNETH PHILLIPS


Address: 623 Pusan Dr, Oceanside, CA 92058-8149
Phone: 8479128212

MR. MICHAEL KENNETH PHILLIPS (NPI# 1790035707) 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) 1790035707
Entity Type Individual
Full Name MR. MICHAEL KENNETH PHILLIPS
Credential IDC
Practice Address 623 Pusan Dr
Oceanside
CA 92058-8149
Practice Telephone 8479128212
Mailing Telephone 8479128212
Enumeration Date 2012-09-17
Last Update Date 2013-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MICHAEL PHILLIPS

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
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
1063520294 Michael Newton Phillips Physical Therapist 3451 Goodman Rd E Ste 108, Southaven, MS 38672 2006-08-28

Office Location

Street Address 623 PUSAN DR
City OCEANSIDE
State CA
Zip Code 92058-8149

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508463555 Michael William Baker Dental Hygienist 14th St., Oceanside, CA 92058 2020-10-02
1548877004 Juliaisa Gisselle Caldero Dental Assistant Bldg 13128, Oceanside, CA 92058 2020-09-29
1932715836 Leilani Viveros Behavior Technician 251 Airprort Road, Oceanside, CA 92058 2020-09-17
1043835952 Emma Caitlin Johnson Dentist 92055 14th St, Bldg 13128, Oceanside, CA 92058 2020-06-16
1073135836 Roxana Ivette Rodriguez Military Health Care Provider 22190 Marine Dr, Oceanside, CA 92058 2020-05-14
1699307744 Rachael Bousman Specialist/Technologist 13129 14th St, Area 13, Camp Pendleton, CA 92058 2020-02-06
1811528359 Misaael Valdes Military Health Care Provider Building, B St, Oceanside, CA 92058 2020-02-03
1497385736 Phong Thanh Tran Dental Hygienist 599 A Ave #501, Oceanside, CA 92058 2020-01-24
1245796366 Christian Thompson Physician Assistant 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 2019-02-13
1104308568 Caila Martin Behavior Technician 293 Douglas Dr Apt. 272, Oceanside, CA 92058 2018-09-02
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316547227 Landri Acosta Military Health Care Provider 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 2020-10-29
1801494182 Luis Alberto Necoechea Military Health Care Provider 1st Recon Bn Bas, Oceanside, CA 92055 2020-10-09
1073135836 Roxana Ivette Rodriguez Military Health Care Provider 22190 Marine Dr, Oceanside, CA 92058 2020-05-14
1811528359 Misaael Valdes Military Health Care Provider Building, B St, Oceanside, CA 92058 2020-02-03
1023504412 Christopher Russell Peterson Military Health Care Provider 909 Ash Rd, Oceanside, CA 92058-8664 2018-07-09
1902399199 Jeremy Urbanowski Military Health Care Provider 656 Dogwood Ct S, Oceanside, CA 92058-6655 2018-06-12
1891297438 Adam Christopher Jones Military Health Care Provider 823 Ash Rd, Oceanside, CA 92058-8662 2018-02-28
1649712639 Robert Harrison Dickey Military Health Care Provider 4372 Pacifica Way, Unit 1, Oceanside, CA 92056-5781 2016-11-08
1780056218 Kyle Cramer Hewitt Military Health Care Provider 1005 Fandango Ct, Oceanside, CA 92058-6757 2015-10-23
1467857490 Adam Zani Military Health Care Provider 316 Taegu Ct, Oceanside, CA 92058-8151 2014-11-04
Find all providers in OCEANSIDE

Competitor

Search similar providers

City OCEANSIDE
Zip Code 92058

Improve Information

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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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