STEPHEN W PHILLIPS M.D. NPI 1396722393

NPI Information

NPI: 1396722393
Provider Name: STEPHEN W PHILLIPS, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
6550 FANNIN
SM749
HOUSTON, TX
ZIP 77030
Phone: (713) 441-7465
Get Directions

Stephen W Phillips, M.D. is a diagnostic radiology radiology in Houston, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Stephen W Phillips, M.D. NPI is 1396722393. 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:

6550 FANNIN
SM749
HOUSTON, TX
ZIP 77030
Phone: (713) 441-7465

The NPI 1396722393 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 12/30/2005 and was last updated on 6/10/2009.

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	44379	MINNESOTA	No
2	2085R0202X	Radiology	Diagnostic Radiology	N1068	TEXAS	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	Other Provider Identifier Issuer
1	031638500	MEDICAID	MINNESOTA
2	8L7897	MEDICARE PIN	TEXAS
3	8F21043	MEDICARE PIN	TEXAS
4	300002538	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
5	8BQ331	OTHER		BLUE CROSS BLUE SHIELD
6	300126736	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	RAILROAD
7	A14060	MEDICARE UPIN
8	200189301	MEDICAID	TEXAS

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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