Individual provider Active NPI

Rob McGregor Phillips, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1659562726
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA924 Issued in OK
Practice address
7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458
Phone
(405) 232-0101
Fax
(405) 232-0102
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA924 OK Primary

Addresses

Primary practice location

7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458

Mailing address

7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458
Phone (405) 232-0101

Other identifiers 1

IdentifierTypeStateIssuer
200002570AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
924OKMDMarriage & Family Therapist
PA924OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1659562726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S MICKEY MANTLE DR",
            "address_2": "SUITE 325",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042458",
            "telephone_number": "405-232-0101",
            "fax_number": "405-232-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S MICKEY MANTLE DR",
            "address_2": "SUITE 325",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042458",
            "telephone_number": "405-232-0101",
            "fax_number": "405-232-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROB",
        "middle_name": "MCGREGOR",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.