MARY L PHILLIPS (NPI# 1861412991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861412991 |
| Entity Type | Individual |
| Full Name | MARY L PHILLIPS |
| Credential | MD |
| Practice Address |
2091 Elk Ridge Rd Ferguson NC 28624-9146 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34127 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770132615 | Mary Phillips | Technician | 302 Cherry St, Anita, IA 50020 | 2019-09-04 |
| 1225579931 | Mary Phillips | Occupational Therapist | 1771 Baptist Clay Dr, Fleming Island, FL 32003-8501 | 2017-03-14 |
| 1487070116 | Mary Phillips | Registered Nurse | 1723 S County Road 29, Valley, NE 68064-5216 | 2014-03-05 |
| 1861821902 | Mary Phillips | Community Health Worker | 2240 E. Grand River Ave., Howell, MI 48843 | 2013-11-08 |
| 1558596841 | Mary Elaine Phillips | Registered Nurse | 6833 Bellefontaine Rd, Huber Heights, OH 45424-3308 | 2009-05-15 |
| 1609016005 | Mary E Phillips | Nurse Practitioner | 105 1/2 Mathis Dr, Suite D, Dickson, TN 37055-2096 | 2009-02-24 |
| 1003089244 | Mary Elizabeth Phillips | Radiologic Technologist | 5319 Eel River Ct, North Las Vegas, NV 89031-3504 | 2008-04-09 |
| 1265504302 | Mary Elizabeth Phillips | Counselor | 611 W. Delmar, Alton, IL 62002 | 2006-11-14 |
| 1689786048 | Mary Heloise Phillips | Marriage & Family Therapist | 3300 Churn Creek Rd, Redding, CA 96002-2513 | 2006-08-31 |
| 1023022597 | Mary Ann Phillips | Nurse Practitioner | Uk Div of Medical Oncology, 800 Rose St., Lexington, KY 40536-0001 | 2006-07-28 |
| Street Address |
2091 ELK RIDGE RD |
| City | FERGUSON |
| State | NC |
| Zip Code | 28624-9146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518344035 | Carnaggio and Piper Dmd Ms Pa | Dentist | 181 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2015-05-05 |
| 1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
| 1548541477 | Rick Hensley Dmd, Pa Dba Rick Hensley Family Dentistry | Dentist | 181 Medical Center Road, West Wilkes Medical Center, Ferguson, NC 28624-8925 | 2011-09-06 |
| 1306880091 | Thomas Keith Mcmahan | Internal Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2006-06-15 |
| 1013324375 | Wilkes Physician Network, Inc. | Family Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2014-07-18 |
| 1215289590 | Heather Anderson Grant | Nurse Practitioner | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2012-10-10 |
| 1801832886 | West Wilkes Medical Center, Inc. | Clinic/Center | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2006-06-20 |
| 1346852704 | Holly Elizabeth Church | Student in an Organized Health Care Education/Training Program | 730 Mount Pleasant Rd, Ferguson, NC 28624-9026 | 2020-08-18 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1487789467 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Church Road, Ferguson, NC 28624-9080 | 2007-02-22 |
| Find all providers in zip 28624 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490232 | Wake Forest Baptist Imaging, LLC | Radiology | 861 Old Winston Rd Ste 105, Kernersville, NC 27284-7141 | 2020-09-02 |
| 1770195166 | Sonocare, LLC | Radiology | 2579 Chimney Rock Rd Fl 2, Hendersonville, NC 28792-9181 | 2020-08-18 |
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1144831611 | Raleigh Radiology Enterprises, LLC | Radiology | 101 Lattner Ct Ste 101, Morrisville, NC 27560-9584 | 2020-08-10 |
| 1245859453 | Triad Breast Imaging Center, LLC | Radiology | 3515 W Market St Ste 320, Greensboro, NC 27403-4438 | 2020-04-09 |
| 1265065098 | Dylan Moore | Radiology | 69 Beechwood Rd, Asheville, NC 28805-2329 | 2020-02-20 |
| 1346898632 | Mohamed Khalif Osman Warfa | Radiology | Diagnostic Radiology, Wake Forest School of Medicine, 1 Medical Boulevard, Winston-salem, NC 27157-0001 | 2019-08-29 |
| 1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
| 1942781455 | Mcpc-19, LLC | Radiology | 2919 Beechtree Dr Ste 1200, Sanford, NC 27330-6934 | 2018-08-23 |
| 1235619321 | Sonocare, LLC | Radiology | 611 Mocksville Ave Ste 203, Salisbury, NC 28144-2738 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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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.