Organization Active NPI

MD Phil LLC

  • Non-emergency Medical Transport (VAN)
  • Little Rock, AR
National Provider Identifier
1164283974
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MD PHIL LLC
Doing business as
MD Phil LLC
Practice address
33 Clement Dr
Little Rock, AR 72209-2977
Phone
(501) 410-0157
Fax
(855) 736-1784
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Michael Dwayne Phillips
Title
Owner/Operator
Phone
(501) 410-0157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

33 Clement Dr
Little Rock, AR 72209-2977

Mailing address

33 Clement Dr
Little Rock, AR 72209-2977
Phone (501) 410-0157

Other names 1

  • MD Phil LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1164283974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLEMENT DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722092977",
            "telephone_number": "501-410-0157",
            "fax_number": "855-736-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLEMENT DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722092977",
            "telephone_number": "501-410-0157",
            "fax_number": "855-736-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PHIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "501-410-0157"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Phil LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.