Active NPI
Daniel J Phillips, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 417
- Practice address
- 2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770 - Phone
- (527) 522-1402
- Fax
- (252) 689-6502
- NPI assigned
- Jan 11, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 185316 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 075314 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 417 | NC | Primary |
Addresses
Primary practice location
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Mailing address
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (527) 522-1402
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052847 | Medicaid | NC | |
| P0601416 | Other | NC | RAILROAD MEDICARE |
| 201442673 | Other | NC | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100
2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140
580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400
Hospital & facility affiliations
- Ecu Health Medical Center
- Cheshire Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185316 | NC | MD | Registered Nurse |
| 075314 | NC | MD | Certified Registered Nurse Anesthetist |
| 417 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Medical Center | Current | Accepting new patients | |
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| Carolinaeast Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
580 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1104883511
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Bern, NC
- NPI 1710923875
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Troy, NC
- NPI 1053482596
-
- Prosthetic/Orthotic Supplier
- New Bern, NC
- NPI 1427084680
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1851477970
Nurse Anesthetist, Certified Registered
-
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1679623656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "527-522-1402",
"fax_number": "252-689-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "527-522-1402",
"fax_number": "252-689-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "185316",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "075314",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052847",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P0601416",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "201442673",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.