PAMELA MARTIN PHILLIPS


Address: 1120 Kanawha Blvd E, Charleston, WV 25301-2400
Phone: 3043443457

PAMELA MARTIN PHILLIPS (NPI# 1992760698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992760698
Entity Type Individual
Full Name PAMELA MARTIN PHILLIPS
Other Name PAMELA L MARTIN
Credential M.D.
Practice Address 1120 Kanawha Blvd E
Charleston
WV 25301-2400
Mailing Address Po Box 11137
Charleston
WV 25339-1137
Practice Telephone 3043443457
Practice Fax Number 3043443480
Mailing Telephone 3043443457
Mailing Fax Number 3043443480
Enumeration Date 2006-04-18
Last Update Date 2017-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
19277 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 7243871 05
VA 7243880 05
VA CAREFIRST 6688-0024 01
VA 7243898 05
VA 7247371 05
VA 7243863 05

Other Providers PAMELA PHILLIPS

NPI Name Taxonomy Address Enumeration
1649510397 Pamela Mary Phillips Counselor 2155 Hidden Ln, Leonard, MI 48367-3226 2013-02-17
1821247594 Pamela Kay Phillips Nurse Practitioner 947 Scotland Dr Ste 107, Desoto, TX 75115-2095 2008-09-17
1811482615 Pamela Phillips Social Worker 199 S Central Ave, Columbus, OH 43223-1301 2018-06-25
1750743605 Pamela Phillips Counselor 650 Poydras St, New Orleans, LA 70130 2016-03-21
1235430810 Pamela Phillips Psychologist 610 E Southport Rd, Suite 100, Indianapolis, IN 46227-8590 2010-11-12
1295924249 Pamela Jo Phillips Emergency Medicine 6777 W Maple Rd, W Bloomfield, MI 48322-3013 2007-10-16
1104946599 Pamela Susan Phillips Registered Nurse 344 Court Street, Huntsville, TN 37756-0000 2007-03-30
1841382645 Pamela D Phillips Pharmacist 1000 Dutch Ridge Road, Heritage Valley Health System, Beaver, PA 15009 2006-09-29
1134232044 Pamela K Phillips Nurse Practitioner 4909 W Division St, Chicago, IL 60651-3161 2006-08-16
1528029303 Pamela J Phillips Pediatrics 8501 Wilshire Blvd, Beverly Hills, CA 90211-3150 2006-03-31

Office Location

Street Address 1120 KANAWHA BLVD E
City CHARLESTON
State WV
Zip Code 25301-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508860438 John J. Anton Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2005-06-09
1689019531 Megan D Davis Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2013-05-06
1043454820 Matthew W. Morris Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2009-04-24
1225296429 Timothy Aaron Vanhoose Radiology 1120 Kanawha Blvd E, Charleston, WV 25301 2008-05-26
1497956361 James Bryson Mccain Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2007-05-30
1649275728 Associated Radiologists, Inc. Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2005-06-16
1568466050 Johnsey L. Leef IIi Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2005-06-13
1437153939 John A. Willis Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2005-06-13
1679577183 John E. Reifsteck Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2005-06-13
1225032758 Jennifer M. Smith Radiology 1120 Kanawha Blvd E, Charleston, WV 25301-2400 2005-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087680 Kerrie Rena Harris Counselor 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 2020-09-15
1285123471 Burgess Dental Dentist 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 2018-05-03
1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
1740638022 Christina Phalen Pharmacy Technician 701 Lee Street East, Charleston, WV 25301 2016-05-27
1366867079 Brooke Powell Garnes Speech-Language Pathologist 1313 Quarrier Street, Suite A, Charleston, WV 25301 2014-03-04
1952648404 Implanted Pump Management, LLC Home Infusion 311 Laidley St., Suite 202, Charleston, WV 25301 2013-01-03
1730435108 Chaitanya Mishra Internal Medicine 501 Morris St Ste 357, Charleston, WV 25301 2012-08-03
1033477278 James Stephen Harman Neurological Surgery 415 Morris St Ste 400, Charleston, WV 25301 2012-04-25
1265674329 Howard and Howard Dental LLC Dentist 1321 Virginia St., Charleston, WV 25301 2009-04-03
1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194275941 Florida United Radiology, Lc Radiology 7 Pear Tree Ct, Charleston, IL 61920-4415 2016-10-05
1245687540 John Frederick Hughes Radiology 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 2016-05-17
1386030021 Shawn Hobby Radiology 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 2015-04-09
1962601096 James A. Thesing D.o. P.C. Radiology 295 Seven Farms Dr., Ste C-103, Charleston, SC 29492 2007-07-18
1730387622 Courtney Stewart Radiology 96 Jonathan Lucas, Msc 32, Musc, Department of Radiology, Charleston, SC 29425-3230 2007-07-03
1275753576 Mountaineer Imaging Center Radiology 60 R H L Blvd, Charleston, WV 25309-8278 2007-04-27
1285711671 Jared Mills Radiology 1028 Jamsie Cove Dr, Charleston, SC 29412-4965 2006-11-01
1114000882 Darryl Randolph Pauls Radiology 261 Ashley Ave, Suite 100, Charleston, SC 29425-8908 2006-10-24
1790869311 Joshua L. Sherwin Radiology 484 King St Ste 205, Charleston, SC 29403-6229 2006-10-24
1700895562 Rand J Cuthbertson Radiology 474 King St Ste 205, Charleston, SC 29403 2006-08-07
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Competitor

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City CHARLESTON
Zip Code 25301

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Dataset Information

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.

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