Constantine Phiripes, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

S7117 Issued in TX

Practice address

4115 E Lancaster Ave
Fort Worth, TX 76103-3614

Phone

(817) 796-7370

Fax

(817) 764-0714

NPI assigned

Jan 27, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Oak Street Health of Texas, PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
  • NPI 1497387419

  Internal Medicine

  NPD
• GLC Wellness Center Texas LLC

  • General Practice Physician
  • Duncanville, TX
  • NPI 1700433653
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063483121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033614",
            "telephone_number": "817-796-7370",
            "fax_number": "817-764-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Bullard Ave",
            "address_2": "Ste 124",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936120861",
            "country_code": "US",
            "telephone_number": "559-297-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 N Galloway Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505737",
            "country_code": "US",
            "telephone_number": "972-426-5426",
            "fax_number": "459-646-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 S Buckner Blvd Ste 141",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752171794",
            "country_code": "US",
            "telephone_number": "514-305-7065",
            "fax_number": "469-574-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Ephriham Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761646670",
            "country_code": "US",
            "telephone_number": "817-813-7075",
            "fax_number": "817-764-0656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 E Trinity Mills Rd Ste 173",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750061446",
            "country_code": "US",
            "telephone_number": "872-962-1296",
            "fax_number": "469-340-4129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 S Wayside Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770232807",
            "country_code": "US",
            "telephone_number": "281-707-7365",
            "fax_number": "346-206-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2928 N Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750625247",
            "country_code": "US",
            "telephone_number": "214-307-7786",
            "fax_number": "469-460-9091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 Gus Thomasson Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752283005",
            "country_code": "US",
            "telephone_number": "214-301-7071",
            "fax_number": "469-535-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 S Cooper St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760175963",
            "country_code": "US",
            "telephone_number": "817-813-7100",
            "fax_number": "817-382-5458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Benbrook Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Benbrook",
            "state": "TX",
            "postal_code": "761262173",
            "country_code": "US",
            "telephone_number": "817-813-7101",
            "fax_number": "817-382-5458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIRIPES",
        "first_name": "CONSTANTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "942497568",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "ZZZ38477Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G56470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00G56470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "00G56470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "942497568",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G56470",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0006345",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Michelle Phillips, PSY.D.
• Daniel Philpot, PT
• Colten Jacob Philpott, MD
• Austin Phimmasone, MD
• Hailey Phipps, BSN, RN
• Phoenix Associates Counseling Services, Inc.
• Elaine Phuah, D.O.
• Tra My T Phung, DDS
• Physical Management Professionals LLC
• Physician Assistant Services of Texas L.L.P

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.