Active NPI
Scott Richey Phillips, MD
- Family Medicine Physician
- Canal Winchester, OH
National Provider Identifier
1437126687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35038884
- Practice address
- 11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585 - Phone
- (614) 837-6363
- Fax
- (614) 837-6363
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35038884 | OH | Primary |
Addresses
Primary practice location
11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Mailing address
11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Phone (614) 837-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401792 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35038884 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Westerville, OH
- NPI 1639279045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1437126687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 LITHOPOLIS RD NW",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431109585",
"telephone_number": "614-837-6363",
"fax_number": "614-837-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11925 LITHOPOLIS RD NW",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431109585",
"telephone_number": "614-837-6363",
"fax_number": "614-837-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SCOTT",
"middle_name": "RICHEY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35038884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0401792",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.