NPIMap

Individual provider Active NPI

Stephen Christopher Phillips, D.O.

  • Family Medicine Physician
  • Mechanicsburg, PA
National Provider Identifier
1386629475
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018792 Issued in PA
Practice address
107 S Sporting Hill Rd
Mechanicsburg, PA 17050-3058
Phone
(717) 943-1781
Fax
(717) 943-1781
NPI assigned
Dec 12, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-4900-P OH
Family Medicine Physician 207Q00000X OS018792 PA Primary

Addresses

Primary practice location

107 S Sporting Hill Rd
Mechanicsburg, PA 17050-3058

Mailing address

616 W Old York Rd
Carlisle, PA 17015-9155
Phone (931) 625-9885

Other practice location 1

616 W Old York Rd
Carlisle, PA 17015-9155
Phone (931) 625-9885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807002346 PA Practitioner - Family Practice 4082985296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sadler Health Center CorporationGroup PAC ID 4688646573, 15 clinicians

Practice addresses (Care Compare)

100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sadler Health Center Corporation Multi-Specialty CurrentSince Nov 24, 2017 Accepting new patients
Sadler Health Center Corporation CurrentSince Nov 24, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sadler Health Center Corporation Past Accepting new patients

Locations

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

5210 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 218-6670

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EABGBA

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386629475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W OLD YORK RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159155",
            "telephone_number": "931-625-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S SPORTING HILL RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503058",
            "telephone_number": "717-943-1781",
            "fax_number": "717-943-1781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 W Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159155",
            "country_code": "US",
            "telephone_number": "931-625-9885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STEPHEN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-4900-P",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.