Organization Active NPI

Scott B Phillips PLLC

  • Neurological Surgery Physician
  • Wichita Falls, TX
National Provider Identifier
1447869003
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SCOTT B PHILLIPS PLLC
Practice address
1511 10TH St
Wichita Falls, TX 76301-4430
Phone
(940) 263-1551
Fax
(833) 620-2407
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Dr. Scott B Phillips, MDNPI 1104035781
Title
MD/Owner
Phone
(940) 263-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1511 10TH St
Wichita Falls, TX 76301-4430

Mailing address

1511 10TH St
Wichita Falls, TX 76301-4430
Phone (940) 263-1551

Other identifiers 1

IdentifierTypeStateIssuer
Q6976OtherTXLICENSE

Other names 1

  • Excelsis Doing business as

National Provider Directory

National Provider Directory

Locations

1303 McCullough Ave
Ste 166
San Antonio, TX 78212
Phone (210) 225-4444

1106 Travis St
Ste 120
Wichita Falls, TX 76301
Phone (940) 263-1551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1447869003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014430",
            "telephone_number": "940-263-1551",
            "fax_number": "833-620-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014430",
            "telephone_number": "940-263-1551",
            "fax_number": "833-620-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT B PHILLIPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-09-15",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "940-263-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "Q6976",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excelsis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.