Active NPI
David Walker Phillips, CRNA
- Certified Registered Nurse Anesthetist
- College Station, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP119883
- Practice address
- 700 Scott and White Dr
College Station, TX 77845-6441 - Phone
- (979) 207-0100
- NPI assigned
- Nov 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN193091 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | AP119883 | TX | Primary |
Addresses
Primary practice location
700 Scott and White Dr
College Station, TX 77845-6441
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052854 | Medicaid | NC | |
| P00679669 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Duke University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Vision Park Blvd
Suite 160
Shenandoah, TX 77384-3005
Phone (936) 321-8910
2206 E Villa Maria Rd
Bryan, TX 77802-2547
Phone (979) 774-4211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN193091 | NC | MD | Certified Registered Nurse Anesthetist |
| AP119883 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Bryan LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nash Hospitals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nash Hospitals Inc | Current | Accepting new patients | |
| Anesthesia Medical Group of the Permian Basin, LLP | Current | Accepting new patients | |
| Austin Anesthesiology Group PLLC | Current | Accepting new patients | |
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Woodlands Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Wichita Falls Anesthesia PLLC | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Colorado Personnel Resources Inc | Past | Accepting new patients |
Locations
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
2206 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 774-4211
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850
5609 Deauville
Midland, TX 79706
Phone (432) 697-3629
3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703
3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326
111 Vision Park Blvd
Ste 160
Shenandoah, TX 77384
Phone (936) 321-8910
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- dphillips76415@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 12
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.
-
- Certified Registered Nurse Anesthetist
- Bryan, TX
- NPI 1558751834
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Shenandoah, TX
- NPI 1093283970
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Midland, TX
- NPI 1669596672
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wichita Falls, TX
- NPI 1639636210
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1972555928
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1669543955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SCOTT AND WHITE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456441",
"telephone_number": "979-207-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DAVID",
"middle_name": "WALKER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "RN193091",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP119883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052854",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00679669",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.