Active NPI
Sara Elaine Phillips, PA-C
- Medical Physician Assistant
- Columbus, OH
National Provider Identifier
1649418872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50.002855RX
- Practice address
- 337 E Kelso Rd
Columbus, OH 43202-2307 - Phone
- (216) 352-4171
- NPI assigned
- Jan 26, 2009
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50.002855RX | OH | Primary |
Addresses
Primary practice location
337 E Kelso Rd
Columbus, OH 43202-2307
Mailing address
337 E Kelso Rd
Columbus, OH 43202-2307
Phone (740) 624-3306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6789 Ridge Rd
Suite 305
Parma, OH 44129-5635
Phone (440) 491-8334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tecs Ohio Inc | Current | Accepting new patients | |
| Genesis Urgent Care Physicians, LLC | Past | Accepting new patients | |
| Genesis Medical Group LLC | Past | Accepting new patients |
Locations
18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Parma, OH
- NPI 1831495373
-
- Physical Medicine & Rehabilitation Physician
- Englewood, OH
- NPI 1598632358
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1811207160
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
-
- Primary Care Clinic/Center
- Zanesville, OH
- NPI 1013157841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1649418872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 E KELSO RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432022307",
"telephone_number": "740-624-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 E KELSO RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432022307",
"telephone_number": "216-352-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SARA",
"middle_name": "ELAINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.002855RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.