DR. JOHN KENNETH PHILLIPS M.D. NPI 1518961580

NPI Information

  • NPI: 1518961580
  • Provider Name: DR. JOHN KENNETH PHILLIPS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3024 STADIUM BLVD
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 934-5113

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NPI Details

DR. John Kenneth Phillips, M.D. is a diagnostic radiology radiology in Jonesboro, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. John Kenneth Phillips, M.D. NPI is 1518961580. 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 STADIUM BLVD
JONESBORO, AR
ZIP 72401-415
Phone: (870) 934-5113
Fax: (870) 392-3608

The NPI 1518961580 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 6/8/2005 and was last updated on 12/1/2016.

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
12085R0202XRadiologyDiagnostic RadiologyE0129ARKANSASYes

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
15K021MEDICARE ID-TYPE UNSPECIFIED
2129236001MEDICAIDARKANSAS
3208891804MEDICAIDMISSOURI
4E89602MEDICARE UPIN

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: 11/21/2025

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