Active NPI
Alexander Philips, M.D.
- Surgery Physician
- Woonsocket, RI
National Provider Identifier
1528059193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD04994
- Practice address
- 20 Cumberland Hill Rd
Suite 209
Woonsocket, RI 02895-4854 - Phone
- (401) 766-2970
- Fax
- (401) 766-1523
- NPI assigned
- Nov 2, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD04994 | RI | Primary |
Addresses
Primary practice location
20 Cumberland Hill Rd
Suite 209
Woonsocket, RI 02895-4854
Mailing address
20 Cumberland Hill Rd
Suite 209
Woonsocket, RI 02895-4854
Phone (401) 766-2970
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000372 | Other | RI | BLUE CROSS/BLUE SHIELD |
| AP32343 | Medicaid | RI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services Landmark LLC | Surgery | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1942630264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302307200000",
"number": "1528059193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CUMBERLAND HILL RD",
"address_2": "SUITE 209",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954854",
"telephone_number": "401-766-2970",
"fax_number": "401-766-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CUMBERLAND HILL RD",
"address_2": "SUITE 209",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954854",
"telephone_number": "401-766-2970",
"fax_number": "401-766-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPS",
"first_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2011-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "MD04994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0000000372",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AP32343",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.