Active NPI
Russell Glenn Phillips, HEARING SPECIALIST
- Hearing Instrument Specialist
- Paducah, KY
National Provider Identifier
1013285071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 101279
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| KY0955 | KY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hearing Aid Equipment
- Frankfort, KY
- NPI 1487973640
-
- Assistive Technology Practitioner Audiologist
- Richmond, KY
- NPI 1942489976
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.