Active NPI
Karen Diane Phillips, M.D.
- Surgery Physician
- Fairborn, OH
National Provider Identifier
1366655870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18707
- Practice address
- 1149 Katy Meadow CT
Fairborn, OH 45324-8720 - Phone
- (803) 767-3814
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 18707 | SC | Primary |
Addresses
Primary practice location
1149 Katy Meadow CT
Fairborn, OH 45324-8720
Mailing address
1149 Katy Meadow CT
Fairborn, OH 45324-8720
Phone (803) 767-3814
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Medical Center | Past | Accepting new patients | |
| Lexington County Health Services District, Inc. | Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Surgery Physician
- West Columbia, SC
- NPI 1215955174
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1831550060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366655870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 KATY MEADOW CT",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453248720",
"telephone_number": "803-767-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 KATY MEADOW CT",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453248720",
"telephone_number": "803-767-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KAREN",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "18707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.