BENJAMIN PHILLIPS IV (NPI# 1912443516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912443516 |
| Entity Type | Individual |
| Full Name | BENJAMIN PHILLIPS IV |
| Practice Address |
2015 Nw 19th St Oklahoma City OK 73106-1605 |
| Practice Telephone | 4054743162 |
| Mailing Telephone | 4054743162 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808676 | Benjamin E Phillips | Ophthalmology | 164 N Broadway, Green Bay, WI 54303-2728 | 2005-08-18 |
| 1326359720 | Benjamin G. Phillips | Dentist | 1048 Union St, Suite 4, Bangor, ME 04401-8600 | 2010-06-30 |
| 1225256043 | Benjamin Z Phillips | Plastic Surgery | 1 High St, Wakefield, RI 02879-3103 | 2007-04-24 |
| 1275678021 | Benjamin William Phillips | Internal Medicine | 180 S Main St, Canton, IL 61520-2608 | 2007-02-20 |
| 1841281995 | Benjamin R. Phillips | Surgery | 1100 Walnut St, Mob, 5th Floor, Philadelphia, PA 19107-5563 | 2005-10-28 |
| Street Address |
2015 NW 19TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457817595 | Milo Kliewer | Peer Specialist | 2015 Nw 19th St, Oklahoma City, OK 73106-1605 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002818 | Keegan Eisenhardt | Peer Specialist | 6405 S Villa Ave, Oklahoma City, OK 73159-2741 | 2020-08-05 |
| 1689283780 | Gregory Purvis Jr. | Peer Specialist | 1305 Parkwoods Ct, Oklahoma City, OK 73110-7425 | 2020-07-24 |
| 1609485762 | Amanda Elaine Cruz | Peer Specialist | 1605 Nw 30th St Apt 228, Oklahoma City, OK 73118-3622 | 2020-07-24 |
| 1063021384 | Christina Len Petty | Peer Specialist | 2144 Nw 29th St, Oklahoma City, OK 73107-2526 | 2020-07-23 |
| 1104443977 | Jennifer Lynn Cobb | Peer Specialist | 2400 General Pershing Blvd Apt 308, Oklahoma City, OK 73107-6429 | 2020-06-28 |
| 1801412135 | Cleborn Gossett | Peer Specialist | 721 Waterview Rd, Oklahoma City, OK 73170-1637 | 2020-06-23 |
| 1487270617 | Foxy S Starnes | Peer Specialist | 9008 N Shannon Ave, Oklahoma City, OK 73132-1142 | 2020-06-23 |
| 1154945582 | Alexandra Paige Mcgowan-rayburn | Peer Specialist | 4129 Nw 21st St, Oklahoma City, OK 73107-2607 | 2020-06-01 |
| 1962034504 | Crystal Rose Mckee | Peer Specialist | 3417 S Independence Ave, Oklahoma City, OK 73119-2617 | 2020-02-11 |
| 1508496662 | Brie Jordan Florence | Peer Specialist | 2640 Sw 95th St, Oklahoma City, OK 73159-6720 | 2020-01-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
Please comment or provide details below to improve the information on BENJAMIN PHILLIPS IV.
| 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.