Individual provider Active NPI

Philip Arlis Neiheisel, M.D.

  • Pediatrics Physician
  • Sylva, NC
National Provider Identifier
1366709545
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2016-01447 Issued in NC
Practice address
132 Sylva PLZ
Sylva, NC 28779-5252
Phone
(828) 586-2377
Fax
(828) 586-5888
NPI assigned
Apr 12, 2012
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016-01447 NC
Pediatrics Physician 208000000X 2016-01447 NC Primary

Addresses

Primary practice location

132 Sylva PLZ
Sylva, NC 28779-5252

Mailing address

132 Sylva PLZ
Sylva, NC 28779-5252
Phone (828) 586-2377

Other practice location 1

125 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 765-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161118000765 NC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2567751175
I20190509000541 TX Practitioner - Internal Medicine 2567751175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Indian Hospital Authority Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Apr 1, 2019 Accepting new patients
Cherokee Indian Hospital Authority Current Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
Kidzcare Pediatrics, PC Pediatrics Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1366709545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SYLVA PLZ",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795252",
            "telephone_number": "828-586-2377",
            "fax_number": "828-586-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SYLVA PLZ",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795252",
            "telephone_number": "828-586-2377",
            "fax_number": "828-586-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-765-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIHEISEL",
        "first_name": "PHILIP",
        "middle_name": "ARLIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-01447",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-01447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.