J Russell Phelps DO PC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

1216 Issued in AZ

Legal business name

J RUSSELL PHELPS DO PC

Practice address

2345 E University Dr
Ste 1
Mesa, AZ 85213

Phone

(480) 834-8005

Fax

(480) 834-5624

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David L Lucas

Title

Billing Dept

Phone

(480) 830-2054

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J.Russell Phelps, DO

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1922255983
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218931200000",
    "number": "1083717227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E UNIVERSITY DR",
            "address_2": "STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-834-8005",
            "fax_number": "480-834-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E UNIVERSITY DR",
            "address_2": "STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-834-8005",
            "fax_number": "480-834-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RUSSELL PHELPS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-08-17",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "480-830-2054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adonis Jabbour, M.D.
• Jamil Jaber, MD

• Hospitalist Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hospitalist Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2008; 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.