Donald M. Phillips MD. PC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01020846A Issued in IN

Legal business name

DONALD M. PHILLIPS MD. PC.

Practice address

1356 S Lake Park Ave
Hobart, IN 46342-5964

Phone

(219) 942-8518

Fax

(219) 947-2751

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly A. Woloszyn

Title

Billing Manager

Phone

(219) 942-8518

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Donald Michael Phillips, M.D.

  • Family Medicine Physician
  • Hobart, IN
  • NPI 1720068646
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1356530992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463425964",
            "telephone_number": "219-942-8518",
            "fax_number": "219-947-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463425964",
            "telephone_number": "219-942-8518",
            "fax_number": "219-947-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD M. PHILLIPS MD. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "WOLOSZYN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-942-8518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01020846A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000086604",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Diaz
• Stephanie Dines, CRNA
• Jessica DO, PA-C
• Megan Doheny, MSN, WHNP-BC
• John Edward Dolatowski Jr., M.D.
• Matthew Doolin
• Dungarvin Indiana, LLC
• Lachanda Leann Dunlap-Wright
• Leslie Rita Durbin, CLC
• Cayce East-Figaro, MOTR/L

• Family Medicine Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Family Medicine Physician in Indiana

• 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.