Individual provider Active NPI

Christopher D Phillips, M.D.

  • Neurology Physician
  • Baton Rouge, LA
National Provider Identifier
1073501219
Registry record updated Aug 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD202075 Issued in LA
Practice address
6555 Perkins Rd
Suite 300
Baton Rouge, LA 70808-4237
Phone
(225) 810-3342
Fax
(225) 810-3348
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD202075 LA Primary
Neurology Physician 2084N0400X 217691 NY
Neurology Physician 2084N0400X D50946 MD
Neurology Physician 2084N0400X MD2012-0560 NM

Addresses

Primary practice location

6555 Perkins Rd
Suite 300
Baton Rouge, LA 70808-4237

Mailing address

6555 Perkins Rd
Suite 300
Baton Rouge, LA 70808-4237
Phone (225) 810-3342

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD202075LAMDNeurology Physician
D50946MDMDNeurology Physician
MD2012-0560NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seth W. Wharton, MD Neurology Past Accepting new patients

Organizations & group practices 1

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345334400000",
    "number": "1073501219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 PERKINS RD",
            "address_2": "SUITE 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084237",
            "telephone_number": "225-810-3342",
            "fax_number": "225-810-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 PERKINS RD",
            "address_2": "SUITE 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084237",
            "telephone_number": "225-810-3342",
            "fax_number": "225-810-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD202075",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "217691",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D50946",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2012-0560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2012; 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.