Active NPI
Patricia J Phillips, DO
- Family Medicine Physician
- Yarmouth, ME
National Provider Identifier
1518069988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1166
- Practice address
- 10 Forest Falls Drive
Suite 11
Yarmouth, ME 04096 - Phone
- (207) 847-9200
- Fax
- (207) 847-9315
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1166 | ME | Primary |
Addresses
Primary practice location
10 Forest Falls Drive
Suite 11
Yarmouth, ME 04096
Mailing address
10 Forest Falls Drive
Suite 11
Yarmouth, ME 04096
Phone (207) 847-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0380 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Riverview Physical Therapy Limited Partnership
Practice addresses (Care Compare)
50 Forest Falls Dr
Yarmouth, ME 04096-6937
500 Route 1
Suite 103
Yarmouth, ME 04096-6817
Phone (207) 846-9309
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
- Mainehealth Mid Coast Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 52 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1166 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia J. Phillips, DO, PA | Family Medicine | Current | Accepting new patients |
| Nancy J. Oliphant MD PA | Family Medicine | Current | Accepting new patients |
| John J. Lowery, D.O., PH.D. | Family Medicine | Past | Accepting new patients |
Locations
185 Townsend Ave
Ste R
Boothbay Hbr, ME 04538
Phone (207) 633-1075
500 US Route 1
Ste 103
Yarmouth, ME 04096
Phone (207) 671-5128
10 Forest Falls Dr
Stop 11
Yarmouth, ME 04096
Phone (207) 847-9200
Interoperability endpoints
- patricia.phillips.1@3801.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Yarmouth, ME
- NPI 1487811881
-
- Family Medicine Physician
- Boothbay Harbor, ME
- NPI 1326229741
-
- Family Medicine Physician
- Yarmouth, ME
- NPI 1588548747
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518069988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FOREST FALLS DRIVE",
"address_2": "SUITE 11",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "04096",
"telephone_number": "207-847-9200",
"fax_number": "207-847-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FOREST FALLS DRIVE",
"address_2": "SUITE 11",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "04096",
"telephone_number": "207-847-9200",
"fax_number": "207-847-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "1166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0380",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.