Maryanne D. Phillips MD Apc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A63753 Issued in CA

Legal business name

MARYANNE D. PHILLIPS MD APC

Practice address

7835 S Rainbow BL
Ste 15
Las Vegas, NV 89139

Phone

(702) 860-8965

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Maryanne D Phillips, M.D.

Title

President

Phone

(702) 860-8965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1245533207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 SOUTHERN HIGHLANDS PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414368",
            "telephone_number": "702-860-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 S RAINBOW BL",
            "address_2": "STE 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89139",
            "telephone_number": "702-860-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANNE D. PHILLIPS MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-860-8965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A63753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jewels Health Services Inc
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• Maryam Sina
• Rida Maryam
• Maryland Health Services LLC
• Maryland Mobile Health LLC
• Maryland Parkway CVS LLC
• Victoria Maryott
• Celerina Marzan

• Pain Medicine (Anesthesiology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine (Anesthesiology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.