Curtis Phillips DO PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3379 Issued in OK

Legal business name

CURTIS PHILLIPS DO PC

Doing business as

Vinita Surgery & Family Medical Clinic

Practice address

428 S Wilson St
Vinita, OK 74301-4246

Phone

(918) 256-5021

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Curtis Phillips, DONPI 1134126576

Title

Owner

Phone

(918) 256-5021

Specialties & licenses 2

Addresses

Other names 1

• Vinita Surgery & Family Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Curtis Alan Phillips, D.O.

  • Surgery Physician
  • Vinita, OK
  • NPI 1134126576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1518276252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014246",
            "telephone_number": "918-256-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS PHILLIPS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-256-5021",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "3379",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "3379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vinita Surgery & Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Dalene Crockett
• Siedra Crouch
• Dakota Lee Culver
• Johnathan Culver
• Lauren Cunningham
• Kenneth Curtis
• Kiley Ann Cypert
• Rachel Michelle Dainty
• Shermoan Roderick Daiyaan
• Reanna Jean Dameron

• Surgery Physician in Vinita, OK
• Providers in Vinita, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.