Stan D. Phillips, M.D

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0097-01107 Issued in NC

Practice address

9710 Sam Furr Rd
Unit D
Huntersville, NC 28078-4977

Phone

(704) 896-1909

NPI assigned

Jul 31, 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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Brody School of Medicine at East Carolina University, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

South Lake Ears Nose and Throat PAGroup PAC ID 7517126071, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Lake Ears Nose & Throat PA

  • Otolaryngology Physician
  • Huntersville, NC
  • NPI 1154695872
  Medicare reassignment Care Compare group NPD Authorized official
• South Lake Audiology, Inc.

  • Hearing and Speech Clinic/Center
  • Huntersville, NC
  • NPI 1578058806
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Presbyterian Hospital

  • General Acute Care Hospital
  • Huntersville, NC
  • NPI 1346291309
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1124034202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "704-896-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD",
            "address_2": "UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784977",
            "telephone_number": "704-896-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STAN",
        "middle_name": "D.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "0097-01107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891108A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Thi Phan, PA
• Kaitlin Anne Phelps
• Olivia Catherine Philippart, PHARMD, BCTXP
• Erin Phillips
• Sam Phillips, PHARM D
• Aung Zin Phyo, MD
• John Mark Pickering Jr., MD
• Francois Jacques Leopold Picot, MD
• Piedmont Oncology Specialists
• Monica Pieretti, LMCHC

• Otolaryngology Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
• 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.