Dexter L Phillips Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-002700 Issued in OH

Practice address

6696 US Highway 20a
Delta, OH 43515

Phone

(419) 822-3242

Fax

(419) 822-9008

NPI assigned

Jun 15, 2006

Last updated

Jan 8, 2016By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• M C Paneda PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Wauseon, OH
  • NPI 1265626535
  NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1235173899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6696 US HIGHWAY 20A",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "43515",
            "telephone_number": "419-335-3242",
            "fax_number": "419-822-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6696 US HIGHWAY 20A",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "43515",
            "telephone_number": "419-822-3242",
            "fax_number": "419-822-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEXTER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-00-2700-P",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-2700-P",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-002700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378201",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00385719",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Maria Martinez
• Stephen F Mattin, D.D.S
• Lora Kay Meyers, LISW-S
• Roxanne Miller, LPN-M-IV
• Kelly Lynn Munger, RN. BSN.
• Melanie Jane Pickard, LPN
• Pike-Delta-York Local School District
• Tiffany Ann Pollauf
• Brianna Leigh Raab, PA-C
• Lynlee Reinking

• Family Medicine Physician in Delta, OH
• Providers in Delta, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.