Individual provider Active NPI

Christopher Carl Phillips, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Toledo, OH
National Provider Identifier
1205940483
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35094946 Issued in OH
Practice address
2222 Cherry St
Mob 2 Suite 1250
Toledo, OH 43608-2673
Phone
(419) 251-3180
Fax
(419) 251-3849
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35094946 OH Primary

Addresses

Primary practice location

2222 Cherry St
Mob 2 Suite 1250
Toledo, OH 43608-2673

Mailing address

2222 Cherry St
Mob 2 Suite 1250
Toledo, OH 43608-2673
Phone (419) 251-3180

Other identifiers 1

IdentifierTypeStateIssuer
3034111MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191220001978 TX Practitioner - Thoracic Surgery 4587761549 Reassigns benefits to 1 organization
I20200107000339 MI Practitioner - Thoracic Surgery 4587761549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1135 W University Dr
Suite 230
Rochester, MI 48307-1890
Phone (248) 849-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince May 2, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 15, 2019 Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Aug 1, 2023 Accepting new patients
Genesys Practice Partners, Inc CurrentSince Jul 1, 2023 Accepting new patients
Mother Frances Hospital Jacksonville Current Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Dec 19, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 15, 2019 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince May 2, 2023 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Aug 1, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

44000 W Twelve Mile Rd
Ste 200
Novi, MI 48377
Phone (248) 347-8191

26850 Providence Pkwy
Ste 470
Novi, MI 48374
Phone (248) 319-3000

1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

1015 S Washington Ave
Fl 1
Saginaw, MI 48601
Phone 98975430004332

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

16001 W 9 Mile Rd
Fl 3
Southfield, MI 48075
Phone (248) 849-2600

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992

Interoperability endpoints

  • Direct secure messaging: cphillips1051993@direct.hfhs.org
  • Direct secure messaging: christopher.phillips.1@11016.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1205940483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "address_2": "MOB 2 SUITE 1250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "address_2": "MOB 2 SUITE 1250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-3180",
            "fax_number": "419-251-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTOPHER",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35094946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3034111",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.