Jason Phillips M D P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K5658 Issued in TX

Legal business name

JASON PHILLIPS M D P A

Practice address

1410 W Panola St
Carthage, TX 75633-2348

Phone

(903) 693-9375

Fax

(903) 694-4654

NPI assigned

Feb 12, 2008

Last updated

Sep 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jim Jason Phillips, M.D.NPI 1013086040

Title

Owner

Phone

(903) 693-9375

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jim Jason Phillips, MD

  • Family Medicine Physician
  • Carthage, TX
  • NPI 1013086040
  Authorized official Same address or phone

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1467620401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756330519",
            "telephone_number": "903-693-9375",
            "fax_number": "903-694-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W PANOLA ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332348",
            "telephone_number": "903-693-9375",
            "fax_number": "903-694-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON PHILLIPS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-693-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151901901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hopkins County Hospital District (Briarcliff Skilled Nursing Facility)
• Michael Chimdi Ifedi, PHARMD
• Izzy Inc
• J. L. Miguez, Inc. (NewSound Hearing Centers)
• Gina T Jackson-Smith, LMT
• John F Nielsen M D Family Medicine PA
• Karen Lynn Johnson, COTA
• Bryan Keith Jones, LVN
• Erin Brynne Jones, RN
• Jasmine S Jones, COTA/L

• Family Medicine Physician in Carthage, TX
• Providers in Carthage, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.