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J DUNCAN PHILLIPS NPI 1376636548


NPI Information

NPI: 1376636548
Provider Name: J DUNCAN PHILLIPS
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: WAKEMED SPECIALISTS GROUP LLC

PECOS Registration: Yes

Address:
3024 NEW BERN AVE SUITE 302
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8797
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J Duncan Phillips is a pediatric surgery surgery in Raleigh, NC with 38 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. J Duncan Phillips NPI is 1376636548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3024 NEW BERN AVE SUITE 302
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8797

The NPI 1376636548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery9901287NORTH CAROLINANo
22086S0120XSurgeryPediatric Surgery9901287NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1891222GMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.