Active NPI
S Michael Phillips, MD
- Allergy & Immunology Physician
- Philadelphia, PA
National Provider Identifier
1487668901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD017162E
- Practice address
- 3737 Market St
3Rd Floor
Philadelphia, PA 19104-5545 - Phone
- (215) 662-2775
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD017162E | PA | Primary |
Addresses
Primary practice location
3737 Market St
3Rd Floor
Philadelphia, PA 19104-5545
Mailing address
3737 Market St
3Rd Floor
Philadelphia, PA 19104-5545
Phone (215) 662-2775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006630590001 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1487668901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MARKET ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045545",
"telephone_number": "215-662-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MARKET ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045545",
"telephone_number": "215-662-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "S",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD017162E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006630590001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.