Phillip Robert Dagostino, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

173221 Issued in NC

Practice address

Medical Center Blvd
Winston Salem, NC 27157-0001

Phone

(617) 851-5987

NPI assigned

Jun 16, 2011

Last updated

Jun 16, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1215222302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 CAMELOT DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441345759",
            "telephone_number": "617-851-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "617-851-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGOSTINO",
        "first_name": "PHILLIP",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "173221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Da2, LLC (ComForCare Home Care)
• Trinitee Daebelliehn
• Pirouz Daeihagh, MD
• Mary Coburn Dagenhart, MA, LCMHC-A
• Faith Devine Daggs, M.D.
• Allison Paige Daigle
• Emily Ann Dailey, PA
• Terra Dawn Dailey
• Benjamin Daines
• Sky Elizabeth Dainty, MD

• Neurological Surgery Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Neurological Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.