Hollis E Phillips M.D. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOLLIS E PHILLIPS M.D. P.C.

Practice address

2040 W Bethany Home Rd
Suite 101
Phoenix, AZ 85015-2445

Phone

(602) 248-0224

Fax

(602) 248-0235

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hollis E Phillips, M.D.

Title

President

Phone

(602) 248-0224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Kafka Phillips, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1902988934
  Medicare reassignment NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1285716225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W BETHANY HOME RD",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152445",
            "telephone_number": "602-248-0224",
            "fax_number": "602-248-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W BETHANY HOME RD",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152445",
            "telephone_number": "602-248-0224",
            "fax_number": "602-248-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS E PHILLIPS M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-248-0224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holliday Horizons LLC
• Jenny S Holliday, FNP
• Sarah Holliday
• Eleanor L Hollingsworth, APRN
• Alexzandra Kathryn Hollingworth, MD
• Allyssa Hollis
• Rebecca Hollis
• Alicia Hollister
• Corrina Lynn Holloway-Factory
• Aeryus Nicholas Paul Holloway, MD

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.