Active NPI
Neil Alan Phillips, D.O.
- Pediatrics Physician
- Grants Pass, OR
National Provider Identifier
1619977089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO26002
- Practice address
- 495 Ramsey Ave
Grants Pass, OR 97527-5681 - Phone
- (541) 476-6644
- Fax
- (541) 472-5673
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO26002 | OR | Primary |
Addresses
Primary practice location
495 Ramsey Ave
Grants Pass, OR 97527-5681
Mailing address
495 Ramsey Ave
Grants Pass, OR 97527-5681
Phone (541) 476-6644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grants Pass Clinic LLP | Pediatrics | Current | Accepting new patients |
Locations
495 SW Ramsey Ave
Grants Pass, OR 97527
Phone (541) 476-6644
Interoperability endpoints
- neilphillips@gpc.allscriptsdirect.net
- neilphillips@grantspass.allscriptsdirect.net
Organizations & group practices 2
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": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619977089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275681",
"telephone_number": "541-476-6644",
"fax_number": "541-472-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275681",
"telephone_number": "541-476-6644",
"fax_number": "541-472-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "NEIL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "DO26002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.