NPIMap

Individual provider Active NPI

Catherine Durst Phillips, D.O.

  • Pediatrics Physician
  • Oxford, MS
National Provider Identifier
1477870822
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22706 Issued in MS
Practice address
2682 W Oxford Loop Ste 130
Oxford, MS 38655-5441
Phone
(662) 371-1543
Fax
(662) 371-1548
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 22706 MS Primary
Pediatrics Physician 208000000X DO.000337 LA

Addresses

Primary practice location

2682 W Oxford Loop Ste 130
Oxford, MS 38655-5441

Mailing address

2682 W Oxford Loop Ste 130
Oxford, MS 38655-5441
Phone (662) 371-1543

Other identifiers 1

IdentifierTypeStateIssuer
04225858MedicaidMS

Other names 1

  • Dr. Catherine Louisa Durst Former name

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.000337LAMDPediatrics Physician
22706MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Pediatrics, LLC Pediatrics CurrentSince Oct 1, 2019 Accepting new patients

Locations

2682 West Oxford Loop
Ste 130
Oxford, MS 38655
Phone (662) 371-1543

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.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1477870822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 W OXFORD LOOP STE 130",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555441",
            "telephone_number": "662-371-1543",
            "fax_number": "662-371-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 W OXFORD LOOP STE 130",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555441",
            "telephone_number": "662-371-1543",
            "fax_number": "662-371-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CATHERINE",
        "middle_name": "DURST",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "22706",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "DO.000337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04225858",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "DURST",
            "middle_name": "LOUISA",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.