NPIMap

Individual provider Active NPI

David A Phillips, MD

  • Otolaryngology Physician
  • Charleston, WV
National Provider Identifier
1700846078
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
18984 Issued in WV
Practice address
4408 Maccorkle Ave SE
Charleston, WV 25304-2506
Phone
(304) 357-9049
Fax
(304) 340-1409
NPI assigned
Mar 23, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 18984 WV Primary
Otolaryngology Physician 207Y00000X 0101232269 VA

Addresses

Primary practice location

4408 Maccorkle Ave SE
Charleston, WV 25304-2506

Mailing address

400 Association Dr Ste 102
Charleston, WV 25311-1298

Other practice location 1

885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone (419) 294-4991 ext. 2205

Other practice location 2

550 Hospital Drive
Hosp Hill Med Center
Warrenton, VA 20186-3027
Phone (540) 347-0505

Other identifiers 2

IdentifierTypeStateIssuer
1700846078MedicaidWV
006306446MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000021 WV Practitioner - Otolaryngology 3072402361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

4408 Maccorkle Ave SE
Charleston, WV 25304-2506
Phone (304) 357-9049

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101232269VAMDOtolaryngology Physician
18984WVMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 22, 2020 Accepting new patients
Ear, Nose & Throat Physicians and Surgeons of Charleston, PLLC CurrentSince Feb 15, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 22, 2020 Accepting new patients
Eye and Ear Clinic Physicians, Inc Past Accepting new patients
Eye & Ear Clinic Physicians Inc Past Accepting new patients
Fauquier Ear Nose and Throat Consultants, PLC Otolaryngology PastSince Feb 1, 2002 Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

321 Main St
Ste 4C
Johnstown, PA 15901
Phone (814) 536-7725

1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371

4408 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 357-9049

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1700846078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASSOCIATION DR STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042506",
            "telephone_number": "304-357-9049",
            "fax_number": "304-340-1409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 N Sandusky Ave",
            "address_purpose": "LOCATION",
            "city": "Upper Sandusky",
            "state": "OH",
            "postal_code": "433511098",
            "country_code": "US",
            "telephone_number": "419-294-4991 x2205",
            "fax_number": "419-294-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Hospital Drive",
            "address_2": "Hosp Hill Med Center",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863027",
            "country_code": "US",
            "telephone_number": "540-347-0505",
            "fax_number": "540-347-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "18984",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101232269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700846078",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006306446",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.