DR. STEPHEN RICHARD PHILLIPP MD NPI 1386615565

NPI Information

NPI: 1386615565
Provider Name: DR. STEPHEN RICHARD PHILLIPP, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818
Phone: (260) 432-1568
Get Directions

DR. Stephen Richard Phillipp, MD is a diagnostic radiology radiology in Fort Wayne, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Stephen Richard Phillipp, MD NPI is 1386615565. 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:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-1568
Fax: (260) 432-4969

The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/17/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	01029911	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0591293	MEDICAID	OHIO
2	D95142	MEDICARE UPIN
3	100318850	MEDICAID	INDIANA
4	981270E	MEDICARE PIN	INDIANA
5	1386615565	MEDICAID	MICHIGAN
6	300016182	MEDICARE PIN	INDIANA
7	H188230	MEDICARE PIN	OHIO
8	MI1209017	MEDICARE PIN	MICHIGAN
9	P00835314	MEDICARE PIN	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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