Chandler Phillips, M.D.
Individual provider Active NPI Family Medicine Physician · Medway, OH
NPI 1023304151 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1023304151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35.035867 (OH)
- Practice address
- 10425 W Union Rd
Medway, OH 45341-9747 - Phone
- (937) 849-9277
- Fax
- (937) 849-9278
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18906 | CA | MD | Family Medicine Physician |
| 01024626A | IN | MD | Family Medicine Physician |
| 35.035867 | OH | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.035867 | OH | Yes |
| Family Medicine Physician | 207Q00000X | 01024626A | IN | |
| Family Medicine Physician | 207Q00000X | G18906 | CA |
Addresses
Primary practice location
10425 W Union Rd
Medway, OH 45341-9747
Mailing address
10425 W Union Rd
Medway, OH 45341-9747
Phone (937) 849-9277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8502258 | Medicaid | OH |
Other names
- Prof. Chandler Philllips
Other providers in Medway, OH
- Penny Hines
- Garnet K.B. Holliday
- Kimberly Hutson
- Dawda Jawara
- Helen Marie Kiss
- Bethany A Rose
- Claudia Lee Shellabarger
- Michelle Renee Stafford
- Alicia Wagoner
- Wagoner'S Psychological Services, LLC
All providers in Medway, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.