Phillip E Reilly, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD009491E Issued in PA

Practice address

25 Highland Park Dr
Uniontown, PA 15401-8402

Phone

(724) 438-3040

Fax

(724) 438-3030

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: preilly160457@direct.ahn.org
• Direct secure messaging: reillymed@direct.meditouchehr.com

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1689635682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018402",
            "telephone_number": "724-438-3040",
            "fax_number": "724-438-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018402",
            "telephone_number": "724-438-3040",
            "fax_number": "724-438-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 S Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154013223",
            "country_code": "US",
            "telephone_number": "724-437-9328",
            "fax_number": "724-437-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "PHILLIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD009491E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD009491E",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "preilly160457@direct.ahn.org",
            "affiliation": "Y",
            "endpointDescription": "AHN Cherry Tree location",
            "affiliationName": "Cherry Tree Medical Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Highland Park Dr",
            "address_2": "Suite 101",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154018402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.