Phillip J. Masterson, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301406121 Issued in MI

Practice address

461 W Huron St
Nomc Emergency Center
Pontiac, MI 48341-1601

Phone

(248) 857-7440

Fax

(248) 857-6992

NPI assigned

May 30, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4

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.

• Hayes Creek Emergency Physicians

  • Emergency Medicine Physician
  • Mt Pleasant, TX
  • NPI 1902072770
  NPD (past)
• PRMC ER Group Inc

  • Anesthesiology Physician
  • Paris, TX
  • NPI 1366764052
  NPD (past)
• PRMC Healthcare Group Inc

  • General Practice Physician
  • Paris, TX
  • NPI 1457514648
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1104873579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 LOCH BEND DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824325",
            "telephone_number": "248-363-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST",
            "address_2": "NOMC EMERGENCY CENTER",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-857-7440",
            "fax_number": "248-857-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "PHILLIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301406121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104405849",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Mason, DO
• Robert Mason, CPHT
• Adeel Masood, M.D.
• Darlene R Massey
• Usman G Master, MD
• Hannah Mathers
• Prasanth Kurien Mathew, RN
• Jeffry Matos Suarez, MD
• Latanya Matthews
• Pamela Matthews

• Emergency Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.