RICHARD PHILLIPS (NPI# 1952487076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952487076 |
| Entity Type | Individual |
| Full Name | RICHARD PHILLIPS |
| Credential | MD |
| Practice Address |
19310 S Halsted St Glenwood IL 60425-1562 |
| Mailing Address |
1000 Park Centre Blvd #138 Miami FL 33169-5373 |
| Practice Telephone | 7083003132 |
| Mailing Telephone | 3056286117 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-085670 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275897209 | Richard Phillips | Dental Hygienist | 200 Kendall Dr Ste 1, Lamar, CO 81052-3940 | 2012-06-25 |
| 1134435068 | Richard A Phillips | Pharmacist | 230 Hidden Hills Dr, Greenville, SC 29605-3266 | 2010-08-30 |
| 1467606665 | Richard Steven Phillips | Dentist | 224 W Avenida Valencia, San Clemente, CA 92672-4242 | 2008-11-14 |
| 1477746352 | Richard Russell Phillips IIi | Psychologist | 2307 Massachusetts Ave, Cambridge, MA 02140-1227 | 2007-08-23 |
| 1336361666 | Richard L Phillips | Radiology | 335 Old Mill Road, Barrington, IL 60010-4734 | 2007-05-03 |
| 1538201991 | Richard John Phillips Jr. | Dentist | 632 South Eremland Dr, Covina, CA 91743-3523 | 2007-02-13 |
| 1437225943 | Richard L Phillips | Optometrist | 903 Third Ave, New Brighton, PA 15066-1916 | 2006-11-27 |
| 1558311308 | Richard Paul Phillips | Audiologist | 5135 Morganton Rd, Rm 109, Fayetteville, NC 28314-1525 | 2006-05-11 |
| 1316571359 | Richard Phillips | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-28 |
| 1518454933 | Richard Phillips | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2018-04-20 |
| Street Address |
19310 S HALSTED ST |
| City | GLENWOOD |
| State | IL |
| Zip Code | 60425-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704217 | Michelle Meeks | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425 | 2005-07-19 |
| 1609317387 | Mohammed Adnan | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425-1562 | 2017-03-15 |
| 1760831648 | Samer Shaja | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425-1562 | 2016-06-10 |
| 1477991891 | Jencare Neighborhood Medical Center Glenwood, LLC | Non-Pharmacy Dispensing Site | 19310 S Halsted St, Glenwood, IL 60425-1562 | 2013-06-07 |
| 1548367535 | Gregory M Brown | Podiatrist | 19310 S Halsted St, Glenwood, IL 60425-1562 | 2006-09-20 |
| 1174556484 | Carlos Crudup | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425-1562 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1073135224 | Aperion Care Glenwood LLC | Durable Medical Equipment & Medical Supplies | 19330 South College Grove Ave, Glenwood, IL 60425 | 2020-05-11 |
| 1750757159 | Guameda Eady | Nurse Practitioner | 19310 S Halsted, Jencare Neighborhood Medical Center Glenwood, LLC, Glenwood, IL 60425 | 2015-08-19 |
| 1285885889 | Ck Transportation Inc | Non-emergency Medical Transport (VAN) | 18451 S Halsted St Ste 4, Glenwood, IL 60425-1009 | 2008-10-01 |
| 1265663157 | Basit G. Nisbeth | Dentist | 18430 S Halsted St, Glenwood, IL 60425-1013 | 2009-07-27 |
| 1285180554 | Bmc Family Dentistry LLC | Clinic/Center | 18430 S Halsted St, Suite 201, Glenwood, IL 60425-1013 | 2016-08-28 |
| 1013225788 | Advocate Home Health Care and Wellness Council, Inc. | Home Health | 18430 S Halsted St, 202, Glenwood, IL 60425-1013 | 2010-09-16 |
| 1588939003 | Dabrene P Goree | Social Worker | 1122 W Iowa St, Glenwood, IL 60425-1025 | 2012-03-16 |
| 1013078237 | Rochelle L Turner | Massage Therapist | 1050 W Ohio St, Glenwood, IL 60425-1031 | 2006-12-12 |
| 1063995785 | Francina S Crayton | Developmental Therapist | 801 W Fitzhenry Ct, Glenwood, IL 60425-1114 | 2018-09-09 |
| Find all providers in zip 60425 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043434525 | Robert Marvin Kent | Family Medicine | 1203 S Locust St, Glenwood, IA 51534-1872 | 2007-04-13 |
| 1649285172 | Glacial Ridge Hospital District | Family Medicine | 417 Franklin St S, Glenwood, MN 56334-1518 | 2006-07-31 |
| 1275573750 | Matthew D Hulsey | Family Medicine | 248 Highway 70 E, Suite A, Glenwood, AR 71943-8801 | 2006-06-07 |
| 1467441584 | Mark Griffis | Family Medicine | 111 North 3rd St, Glenwood, GA 30428-9004 | 2005-10-20 |
| 1992704217 | Michelle Meeks | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425 | 2005-07-19 |
| 1912902404 | Robert Kenneth Fryzek | Family Medicine | Po Box 69, Glenwood, IA 51534-0069 | 2005-06-20 |
| 1609870948 | Michael Dale Schmiesing | Family Medicine | 320 Ebaugh St, Glenwood, IA 51534-1811 | 2005-06-01 |
| 1821622838 | Circles Healthcare | Family Medicine | 2480 Roxbury Mills Rd Ste 10, Glenwood, MD 21738-9718 | 2020-02-28 |
| 1609317387 | Mohammed Adnan | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425-1562 | 2017-03-15 |
| 1760831648 | Samer Shaja | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425-1562 | 2016-06-10 |
| Find all providers in GLENWOOD | ||||
Please comment or provide details below to improve the information on RICHARD PHILLIPS.
| 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.