Organization Active NPI

F. Leigh Phillips, III, MD, PA

  • Specialist
  • Coral Springs, FL
National Provider Identifier
1710288188
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0058293 Issued in FL
Legal business name
F. LEIGH PHILLIPS, III, MD, PA
Practice address
2855 N University Dr
400
Coral Springs, FL 33065-1405
Phone
(954) 344-4344
Fax
(954) 344-3781
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. F Leigh Phillips III, MD, PA
Title
Owner
Phone
(954) 344-4344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0058293 FL Primary

Addresses

Primary practice location

2855 N University Dr
400
Coral Springs, FL 33065-1405

Mailing address

2855 N University Dr
400
Coral Springs, FL 33065-1405
Phone (954) 344-4344

Other names 1

  • none Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117001390 FL Part B Supplier - Clinic/Group Practice 4284820176 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

2855 N University Dr
Ste 400
Coral Springs, FL 33065
Phone (954) 344-4344

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1710288188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR",
            "address_2": "400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651405",
            "telephone_number": "954-344-4344",
            "fax_number": "954-344-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR",
            "address_2": "400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651405",
            "telephone_number": "954-344-4344",
            "fax_number": "954-344-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. LEIGH PHILLIPS, III, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-344-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.

Verify at the official NPI Registry.