Active NPI
Scott B Phillips PLLC
- Multi-Specialty Clinic/Center
- Wichita Falls, TX
National Provider Identifier
1669983201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SCOTT B PHILLIPS PLLC
- Practice address
- 1912 Loop 11
Wichita Falls, TX 76306-4921 - Phone
- (940) 263-1551
- Fax
- (833) 620-2407
- NPI assigned
- Oct 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott B Phillips, MD
- Title
- President
- Phone
- (940) 263-1551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1912 Loop 11
Wichita Falls, TX 76306-4921
Mailing address
1912 Loop 11
Wichita Falls, TX 76306-4921
Phone (940) 263-1551
Other names 1
- Excelsis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Wichita Falls, TX
- NPI 1104035781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701475200000",
"number": "1669983201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 LOOP 11",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763064921",
"telephone_number": "940-263-1551",
"fax_number": "833-620-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 LOOP 11",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763064921",
"telephone_number": "940-263-1551",
"fax_number": "833-620-2407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT B PHILLIPS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-23",
"last_updated": "2023-12-02",
"certification_date": "2023-12-02",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-263-1551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Excelsis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.