James E Phillips, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301036791 Issued in MI

Practice address

104 S Lakeview St
Sturgis, MI 49091-1947

Phone

(269) 651-1471

Fax

(269) 651-1101

NPI assigned

Mar 23, 2006

Last updated

Oct 19, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Michigan Em-I Medical Services, P.C.

  • Physician Assistant
  • Sturgis, MI
  • NPI 1427096684
  NPD (past)
• Southwestern Michigan Emergency Services, PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kalamazoo, MI
  • NPI 1013021310
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1275592503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S LAKEVIEW ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911947",
            "telephone_number": "269-651-1471",
            "fax_number": "269-651-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S LAKEVIEW ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911947",
            "telephone_number": "269-651-1471",
            "fax_number": "269-651-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301036791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103418360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Causey Perra, LPC
• Robert Gray Perra, ED.D.
• John Joseph Petruska, D.D.S.
• Nikita S Petties
• Philip E P Johnson
• Joann Pollard
• Jozilin Danielle Pratt
• Taryn Pratt
• Psychological Services (Psych Svcs SW Hi)
• Rhana Mae Quirin

• Family Medicine Physician in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.