Individual provider Active NPI

James Edgar Phillips II, DO

  • Internal Medicine Physician
  • North Canton, OH
National Provider Identifier
1144724170
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.014532 Issued in OH
Practice address
133 Wilbur Dr NE
North Canton, OH 44720-1641
Phone
(330) 494-3751
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.014532 OH Primary

Addresses

Primary practice location

133 Wilbur Dr NE
North Canton, OH 44720-1641

Mailing address

3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854
Phone (234) 271-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210816002273 OH Practitioner - Internal Medicine 4981955002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

133 Wilbur Dr NE
North Canton, OH 44720-1641
Phone (330) 494-6012

Hospital & facility affiliations

  • Aultman Health Care in Your Home Home health agency, Canton, OH, CCN 367290
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network, Inc. Internal Medicine CurrentSince May 8, 2021 Accepting new patients
Pioneer Physicians Network Inc CurrentSince May 8, 2021 Accepting new patients

Locations

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

133 Wilbur Dr NE
North Canton, OH 44720
Phone (330) 494-6012

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: james.phillips@ppn.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1144724170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "234-271-3353",
            "fax_number": "330-634-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WILBUR DR NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201641",
            "telephone_number": "330-494-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAMES",
        "middle_name": "EDGAR",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.014532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.