NPIMap

Organization Active NPI

Phillips and Levitt Surgical Assoc Inc

  • Surgery Physician
  • Dover, OH
National Provider Identifier
1033183959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PHILLIPS AND LEVITT SURGICAL ASSOC INC
Practice address
340 Oxford St
Suite 220
Dover, OH 44622-1967
Phone
(330) 364-8011
Fax
(330) 364-0058
NPI assigned
Feb 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Matthew W Phillips, MDNPI 1871501411
Title
Owner
Phone
(330) 364-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

340 Oxford St
Suite 220
Dover, OH 44622-1967

Mailing address

340 Oxford St
Suite 220
Dover, OH 44622-1967
Phone (330) 364-8011

Other identifiers 13

IdentifierTypeStateIssuer
000000139927OtherANTHEM
0658677OtherAETNA
20360282400OtherOBWC
28944724500OtherOBWC
I78880OtherRR MEDICARE
000000139928OtherANTHEM
167680292001OtherMEDICAL MUTUAL OF OH
7436728OtherAETNA
289447245005OtherMEDICAL MUTUAL OF OH
0646330OtherAETNA
000000365717OtherANTHEM
16768029200OtherOBWC
203602824002OtherMEDICAL MUTUAL OF OH

National Provider Directory

National Provider Directory

Locations

340 Oxford St
Ste 220
Dover, OH 44622
Phone (330) 364-8011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033183959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 OXFORD ST",
            "address_2": "SUITE 220",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221967",
            "telephone_number": "330-364-8011",
            "fax_number": "330-364-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 OXFORD ST",
            "address_2": "SUITE 220",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221967",
            "telephone_number": "330-364-8011",
            "fax_number": "330-364-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS AND LEVITT SURGICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-364-8011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000139927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0658677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBWC",
            "identifier": "20360282400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBWC",
            "identifier": "28944724500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "I78880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000139928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OH",
            "identifier": "167680292001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7436728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OH",
            "identifier": "289447245005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0646330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000365717",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBWC",
            "identifier": "16768029200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OH",
            "identifier": "203602824002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.