NPIMap

Organization Active NPI

Jane Phillips Specialty Physicians

  • Neurology Physician
  • Bartlesville, OK
National Provider Identifier
1205014248
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
JANE PHILLIPS SPECIALTY PHYSICIANS
Practice address
226 SE Debell Ave
BLDG a
Bartlesville, OK 74006-2343
Phone
(918) 331-1090
Fax
(918) 331-1091
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Scott Phillips
Title
President
Phone
(918) 331-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

226 SE Debell Ave
BLDG a
Bartlesville, OK 74006-2343

Mailing address

226 SE Debell Ave
BLDG a
Bartlesville, OK 74006-2343
Phone (918) 331-1090

Other identifiers 2

IdentifierTypeStateIssuer
500522204OtherOKMEDICARE PTAN
200106480AMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Jane Phillips Specialty Physicians3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1205014248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "address_2": "BLDG A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-331-1090",
            "fax_number": "918-331-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "address_2": "BLDG A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-331-1090",
            "fax_number": "918-331-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE PHILLIPS SPECIALTY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-331-1090"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "500522204",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.