Phillips Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PHILLIPS MEDICAL CORPORATION

Practice address

607 Fleming LN
Minden, LA 71055-3073

Phone

(318) 371-2229

Fax

(318) 371-2228

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Fullerton Phillips, M.D.

Title

President

Phone

(318) 371-2229

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEFIAA

Practitioners 1

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

• Elizabeth Ann Phillips, MD

  • Pediatrics Physician
  • Minden, LA
  • NPI 1649269564
  NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1104987536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FLEMING LN",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553073",
            "telephone_number": "318-371-2229",
            "fax_number": "318-371-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 FLEMING LN",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553073",
            "telephone_number": "318-371-2229",
            "fax_number": "318-371-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FULLERTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-371-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537683",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Physical Therapy of Minden, L.L.C.
• Cara Miccoli Permenter, MD
• PFC Medical LLC
• PHC - Minden LP
• Phillips Family Medicine Clinic LLC
• Elizabeth Ann Phillips, MD
• Physical Therapy Associates, Inc
• Brandy L Pickel, PHARM.D., R.PH.
• Joseph A Pineda, M.D.
• Pink Pratique

• Pediatrics Physician in Minden, LA
• Providers in Minden, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.