Alfred Matthew Phillips, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

14369 Issued in NV

Practice address

925 Ironwood Dr
Minden, NV 89423-5178

Phone

(775) 445-7800

Fax

(775) 782-2967

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aphillips90627@direct.renown.org

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.

• Carson Tahoe Emergency Physicians

  • Emergency Medicine Physician
  • Carson City, NV
  • NPI 1396822821
  NPD
• La Plata Family Medicine Assoc PC

  • Family Medicine Physician
  • Durango, CO
  • NPI 1609868116
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1073503462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 IRONWOOD DR",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235178",
            "telephone_number": "775-445-7800",
            "fax_number": "775-782-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 IRONWOOD DR",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235178",
            "telephone_number": "775-445-7800",
            "fax_number": "775-782-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ALFRED",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "26253",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "26253",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "14369",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632738",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W6787",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01262534",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Spring Ozolins, MA, MFT-INTERN
• Stuart Francis Pardee, DC
• Rick Brian Parigini, DDS, MSD
• Reanin Sidney Parrish
• Stephanie Pavlik, O.M.D., L.AC.
• Jacqueline Eileen Phillips, NP
• Physical Therapy Specialist
• Michael Pieller
• Kimball Converse Pier, PH.D., LMFT
• Stephanie Ann Prather, APRN, FNP-BC

• Emergency Medicine Physician in Minden, NV
• Providers in Minden, NV by specialty
• Emergency Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.