Active NPI
Philip Wayne Giles, M.D.
- Dermatology Physician
- Fort Worth, TX
National Provider Identifier
1346293982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D9454
- Practice address
- 800 Hemphill St
Fort Worth, TX 76104-3107 - Phone
- (817) 335-6155
- NPI assigned
- May 17, 2006
- Last updated
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D9454 | TX | Primary |
Addresses
Primary practice location
800 Hemphill St
Fort Worth, TX 76104-3107
Mailing address
800 Hemphill St
Fort Worth, TX 76104-3107
Phone (817) 335-6155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9454 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1346293982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043107",
"telephone_number": "817-335-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043107",
"telephone_number": "817-335-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "PHILIP",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "D9454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.