Philip Elijah McRill, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8919 Issued in ND

Practice address

1 Minni Tohe Dr
New Town, ND 58763-4400

Phone

(701) 627-4701

Fax

(701) 627-4318

NPI assigned

Jan 24, 2007

Last updated

Oct 28, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Three Affiliated Tribes Mandaree Health Care Center

  dba Mandaree Health Care Center

  • Multi-Specialty Clinic/Center
  • Mandaree, ND
  • NPI 1851579858
  NPD (past)
• Three Affiliated Tribes Twin Buttes Health Care Center

  dba Twin Buttes Health Care Center

  • Multi-Specialty Clinic/Center
  • Halliday, ND
  • NPI 1588841738
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1730234451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL ROAD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392964",
            "telephone_number": "503-220-8262",
            "fax_number": "503-721-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MINNI TOHE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587634400",
            "telephone_number": "701-627-4701",
            "fax_number": "701-627-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRILL",
        "first_name": "PHILIP",
        "middle_name": "ELIJAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "8919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Louise Martin, M.D.
• Roselle Martin, B.S, L.N
• Monica Mayer, M.D.
• Frances McDonald, RN
• Yolanda Sue McDonald
• Rhonda Medicine Crow
• Suzie F Mesteth, PHN
• Mha Nation Home Health Care
• Scott Lee Mortensen, D.D.S.
• New Town Ambulance Service Inc

• Family Medicine Physician in New Town, ND
• Providers in New Town, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.