Individual provider Active NPI

Tammy Phillips, MD

  • Family Medicine Physician
  • Sanford, MI
National Provider Identifier
1265535272
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TP053327 Issued in MI
Practice address
40 W Saginaw Rd
Sanford, MI 48657-9206
Phone
(989) 687-9400
Fax
(989) 687-9945
NPI assigned
Sep 6, 2006
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TP053327 MI Primary

Addresses

Primary practice location

40 W Saginaw Rd
Sanford, MI 48657-9206

Mailing address

40 W Saginaw Rd
Sanford, MI 48657-9206
Phone (989) 687-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000253 MI Practitioner - Family Practice 0143363929 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP053327MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 1, 2014 Accepting new patients

Locations

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

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

4401 N Campus Ridge Dr
Ste D2100
Midland, MI 48640
Phone (989) 837-9300

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

40 W Saginaw Rd
Sanford, MI 48657
Phone (855) 507-3299

Interoperability endpoints

  • Direct secure messaging: tphillips6830@mymichiganhealth.midirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1265535272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W SAGINAW RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579206",
            "telephone_number": "989-687-9400",
            "fax_number": "989-687-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W SAGINAW RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579206",
            "telephone_number": "989-687-9400",
            "fax_number": "989-687-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TAMMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TP053327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, MI

Sources for this page

Verify at the official NPI Registry.