William F Phillips, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Tyler, TX
NPI 1265407340 · NPPES record last updated Oct 13, 2014
Key facts
- NPI
- 1265407340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- L4647 (TX)
- Practice address
- 1327 Troup Hwy
Tyler, TX 75701-4443 - Phone
- (903) 510-8840
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
1505 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-6800
1505 State Hwy 19 S
Christus Trinity Clinic
Athens, TX 75751-8950
Phone (903) 675-1725
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500
8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 606-8840
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Enhabit Home Health
- Enhabit Home Health
- Enhabit Home Health
- Christus Mother Frances Hospital
- Christus Good Shepherd Medical Center
- Hendrick Medical Center
- Ut Health East Texas Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 28 |
| Knee replacement | 50 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 25 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 35 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050926000547 | TX | Practitioner - Orthopedic Surgery | 0446202675 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Orthopaedic Surgery | Current |
Accepting new patients |
| Hendrick Medical Center | Orthopaedic Surgery | Past | Accepting new patients |
| Trinity Clinic | Past | Accepting new patients |
Locations
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
8591 S Broadway Ave
Tyler, TX 75703
Phone (903) 596-9173
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764
Interoperability endpoints
- wphillips7019@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L4647 | TX | Yes |
Addresses
Primary practice location
1327 Troup Hwy
Tyler, TX 75701-4443
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157628202 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1265407340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 TROUP HWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757014443",
"telephone_number": "903-510-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "WILLIAM",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L4647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157628202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
- Melodye Phillips
- Paul Phillips
- Rachael L. Phillips
- Scott Alan Phillips
- Wendell S Phillips
- Andrew Phillpott
- Emily Ann Phillps
- Phoenix Health Center, PLLC
- Jason Alexander Phung
- Physicians Caring for People
All providers in Tyler, TX · Orthopaedic Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.