DR. DOUGLAS FREDRICK PHILLIP (NPI# 1811954092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811954092 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS FREDRICK PHILLIP |
| Credential | M.D. |
| Practice Address |
30042 12th Ln Sw Federal Way WA 98023-3448 |
| Practice Telephone | 2539468212 |
| Mailing Telephone | 2539468212 |
| Enumeration Date | 2006-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD00023249 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
30042 12TH LN SW |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98023-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093908 | Marlene Dawson | Technician | 33228 37th Place S.w., Federal Way, WA 98023 | 2019-09-25 |
| 1861994956 | Allen Abelgas Schimke | Registered Nurse | 1300 Sw Campus Drive Unit 38-4, Federal Way, WA 98023 | 2018-03-05 |
| 1568981298 | Hau Thi-le Vu | Dental Hygienist | 31174 2nd Pl Sw, Federal Way, WA 98023 | 2017-09-13 |
| 1700309416 | Jennifer Lynn Cha | Physician Assistant | 820 Sw 341st St., Federal Way, WA 98023 | 2017-07-25 |
| 1205373958 | Irina Poiata | Reflexologist | 1900 Sw Campus De Apt 15- 303, Federal Way, WA 98023 | 2017-01-19 |
| 1194275800 | Cynthia Marcellus | Counselor | 4523 Federal Ave, Everett, WA 98023 | 2016-10-05 |
| 1023441383 | Samantha Anne Larson | Pharmacist | 1300 Sw Campus Drive Apt 4-4, Federal Way, WA 98023 | 2013-08-09 |
| 1609149079 | Stacey Lee Beilke | Massage Therapist | 215 Sw 319th Lane, Apt L204, Federal Way, WA 98023 | 2012-02-16 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1114168739 | Aleksandra Starikov | Mechanotherapist | 34425 16th Ave Sw, Federal Way, WA 98023 | 2009-03-11 |
| Find all providers in zip 98023 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276411 | Workwell Consultants, LLC | Preventive Medicine | 818 W Riverside Ave Ste 100, Spokane, WA 99201-0910 | 2016-02-26 |
| 1336481183 | Srivani Kanumuri | Preventive Medicine | 16690 Redmond Way Ste C, Redmond, WA 98052-4434 | 2013-03-20 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1932358744 | Ann Tu | Preventive Medicine | Oem Program, 325 9th Ave, Box 359739, University of Washington, Seattle, WA 98104 | 2008-09-17 |
| 1447370879 | Indrek Melder | Preventive Medicine | 1979 Snyder St Ste 150, Richland, WA 99354-5321 | 2007-03-30 |
| 1366509259 | Clyde H. Wilson | Preventive Medicine | 3223 1st Avenue South, Suite C, Seattle, WA 98134 | 2007-01-02 |
| 1831262260 | Steven Michael Hall | Preventive Medicine | 120 1st Ave Nw, Issaquah, WA 98027-3228 | 2006-11-15 |
| 1366408353 | Paul S Darby | Preventive Medicine | 1930 Port of Tacoma Rd., Franciscan Occupational Health, Tacoma, WA 98421 | 2006-04-26 |
| 1841270311 | U.S. Healthworks Medical Group of Arkansas, Inc. | Preventive Medicine | 1100 Virginia St, Suite 215, Seattle, WA 98101-1439 | 2006-01-19 |
| 1750363214 | Fernando Diego Proano | Preventive Medicine | 10618 2nd Ave Sw, Seattle, WA 98146-1560 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98023 |
Please comment or provide details below to improve the information on DR. DOUGLAS FREDRICK PHILLIP.
| 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.