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DR. DOUGLAS LEON PHILLIPS DO NPI 1477534998


NPI Information

NPI: 1477534998
Provider Name: DR. DOUGLAS LEON PHILLIPS, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
8607 TEMPLE DR
FORT WAYNE, IN
ZIP 46809
Phone: (260) 478-9220
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DR. Douglas Leon Phillips, DO is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Douglas Leon Phillips, DO NPI is 1477534998. 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:

8607 TEMPLE DR
FORT WAYNE, IN
ZIP 46809-048
Phone: (260) 478-9220
Fax: (260) 478-9172

The enumeration date for this NPI number is 11/10/2005 and was last updated on 10/16/2012.


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
1207Q00000XFamily Medicine02001562INDIANAYes

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
1100362730MEDICAIDINDIANA
2F63227MEDICARE UPININDIANA
3224620CMEDICARE PININDIANA

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: 5/5/2024
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