CAROL J PHILLIPS MD NPI 1174510663

NPI Information

NPI: 1174510663
Provider Name: CAROL J PHILLIPS, MD
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 458-5555
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Carol J Phillips, MD is an emergency medical services emergency medicine in Fairbanks, AK. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Carol J Phillips, MD NPI is 1174510663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1650 COWLES ST
FAIRBANKS, AK
ZIP 99701-925
Phone: (907) 458-5555

The enumeration date for this NPI number is 9/30/2005 and was last updated on 7/8/2007.

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	207PE0004X	Emergency Medicine	Emergency Medical Services	1950	ALASKA	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	00WCJSZD	MEDICARE ID-TYPE UNSPECIFIED	ALASKA
2	C97208	MEDICARE UPIN
3	MD1950	MEDICAID	ALASKA

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

NPI Synchronization or Removal

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