Active NPI
Christina Sara Philip, D.O.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- OS11963
- Practice address
- 12470 Telecom Drive, Ste 300W
Temple Terrace, FL 33637 - Phone
- (813) 871-8111
- NPI assigned
- May 17, 2011
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | OS11963 | FL | Primary |
Addresses
Primary practice location
12470 Telecom Drive, Ste 300W
Temple Terrace, FL 33637
Mailing address
12470 Telecom Drive, Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8111
Other practice location 1
1 Tampa General Cir
F170
Tampa, FL 33606-3571
Phone (813) 974-2201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151N4 | Other | FL | BLUE CROSS BLUE SHIELD |
| 016318900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125001992 | FL | Practitioner - Hospice/Palliative Care | 0749404119 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapters Health Palliative Care, LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
Locations
12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111
12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183
12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678
2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Temple Terrace, FL
- NPI 1073683553
FL, Hospice and Palliative Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1669765178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12470 TELECOM DRIVE, STE 300W",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "33637",
"telephone_number": "813-871-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12470 TELECOM DRIVE, STE 300W",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "33637",
"telephone_number": "813-871-8111"
}
],
"practiceLocations": [
{
"address_1": "1 Tampa General Cir",
"address_2": "F170",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-974-2201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILIP",
"first_name": "CHRISTINA",
"middle_name": "SARA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "OS11963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "151N4",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016318900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.