VICTOR M. PHILLIPS (NPI# 1831131762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831131762 |
| Entity Type | Individual |
| Full Name | VICTOR M. PHILLIPS |
| Credential | M.D. |
| Practice Address |
3308 W. Edgewood Dr. Suite D Jefferson City MO 65109-6891 |
| Mailing Address |
3308 W Edgewood Dr Suite D Jefferson City MO 65109-6891 |
| Practice Telephone | 5736320010 |
| Practice Fax Number | 5736322449 |
| Mailing Telephone | 5736320010 |
| Mailing Fax Number | 5736322449 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 20030144707 | MO | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20030144707 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 205098 | 01 |
| MO | HEALTHLINK | 542244 | 01 |
| MO | 207627308 | 05 | |
| MO | MEDICARE RAILROAD | P00307873 | 01 |
| MO | RAILROAD GROUP | CD6061 | 01 |
| Street Address |
3308 W. EDGEWOOD DR. SUITE D |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1093813875 | Kevin D Murray | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 S Madison St, Jefferson City, MO 65101-0000 | 2006-09-20 |
| 1770763716 | Capital Region Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-11-07 |
| 1689889792 | Courtnye A Walker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2505 Mission Dr, Suite 310, Jefferson City, MO 65109-9508 | 2007-05-11 |
| 1003845405 | John A Crouch | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Saint Marys Medical Plz, Suite 203, Jefferson City, MO 65101-1604 | 2006-06-30 |
| 1700830460 | Jefferson City Medical Group, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Saint Marys Medical Plz, Suite 203, Jefferson City, MO 65101-1604 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034484 | John Phillip Connors | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1733 Kenmont Rd, Saint Louis, MO 63124-1021 | 2013-02-03 |
| 1699074336 | Joseph John Platz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1035 Belleville Aveune, Suite 500, St. Louis, MO 63117 | 2011-03-21 |
| 1114243995 | Graham Robertson Young Pollock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4320 Wornall Rd Ste 50-ii, Kansas City, MO 64111-5941 | 2010-04-19 |
| 1639305055 | George C Kaiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 Joy Ave, Webster Groves, MO 63119-2502 | 2009-06-01 |
| 1043460710 | Justin Van Meeteren | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2330 E Meyer Blvd Ste 505, Kansas City, MO 64132-1152 | 2008-09-30 |
| 1508024753 | Tracy Elmer Strevey Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1509 Woodgate Dr, Frontenac, MO 63131-4724 | 2008-05-23 |
| 1275712010 | Donovan Mitchell Stinnett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 W 26th St, Suite B, Joplin, MO 64804-1513 | 2007-10-29 |
| 1720277197 | Heart and Vascular Care | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 412 Highway 71, Suite J, Pineville, MO 64856-9310 | 2007-10-22 |
| 1801008396 | Peter Fonseca Md, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10004 Kennerly, Suite 345a, St. Louis, MO 63128 | 2007-05-04 |
| 1669531182 | James N. Pinckley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 S. National, Suite 3400, Springfield, MO 65804 | 2006-12-08 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.