Individual provider Active NPI

Richard Claude Phillips, MD, MS, MPH

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Edmonds, WA
National Provider Identifier
1689032005
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
00020821 Issued in WA
Practice address
51 W Dayton St
Suite #305
Edmonds, WA 98020-4111
Phone
(425) 670-1560
Fax
(425) 361-1512
NPI assigned
Jan 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 00020821 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 00020821 WA Primary

Addresses

Primary practice location

51 W Dayton St
Suite #305
Edmonds, WA 98020-4111

Mailing address

51 W Dayton St
Suite #305
Edmonds, WA 98020-4111
Phone (425) 670-1560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
00020821WAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1689032005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W DAYTON ST",
            "address_2": "SUITE #305",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204111",
            "telephone_number": "425-670-1560",
            "fax_number": "425-361-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W DAYTON ST",
            "address_2": "SUITE #305",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204111",
            "telephone_number": "425-670-1560",
            "fax_number": "425-361-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RICHARD",
        "middle_name": "CLAUDE",
        "credential": "MD, MS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "00020821",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "00020821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.