Individual provider Active NPI

Russell Glenn Phillips, HEARING SPECIALIST

  • Hearing Instrument Specialist
  • Paducah, KY
National Provider Identifier
1013285071
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
101279 Issued in KY
Practice address
3550 James Sanders Blvd
Paducah, KY 42001-9159
Phone
(270) 558-7112
Fax
(502) 352-2472
NPI assigned
Dec 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 101279 KY Primary

Addresses

Primary practice location

3550 James Sanders Blvd
Paducah, KY 42001-9159

Mailing address

8045 Ogden Landing Rd
West Paducah, KY 42086-9623
Phone (270) 558-7112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
KY0955KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Hearing Center Inc. Past Accepting new patients
Bluegrass Hearing Clinic, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1013285071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 OGDEN LANDING RD",
            "city": "WEST PADUCAH",
            "state": "KY",
            "postal_code": "420869623",
            "telephone_number": "270-558-7112",
            "fax_number": "270-444-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 JAMES SANDERS BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019159",
            "telephone_number": "270-558-7112",
            "fax_number": "502-352-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RUSSELL",
        "middle_name": "GLENN",
        "credential": "HEARING SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-06",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "101279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.