Active NPI
Michael D Phillips, M.D.
- Specialist
- Knoxville, TN
National Provider Identifier
1437212842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11953
- Practice address
- 211 E Blount Ave
Suite 507
Knoxville, TN 37920-1614 - Phone
- (865) 525-9414
- Fax
- (865) 525-9452
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 11953 | TN | Primary |
Addresses
Primary practice location
211 E Blount Ave
Suite 507
Knoxville, TN 37920-1614
Mailing address
PO Box 343
Knoxville, TN 37901-0343
Phone (865) 525-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3182278 | Medicaid | TN |
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 |
|---|---|---|---|
| 11953 | TN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437212842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379010343",
"telephone_number": "865-525-9414",
"fax_number": "865-525-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E BLOUNT AVE",
"address_2": "SUITE 507",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201614",
"telephone_number": "865-525-9414",
"fax_number": "865-525-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "11953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3182278",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.