Phillip'N Elizabeth Clinical Staffing

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PHILLIP'N ELIZABETH CLINICAL STAFFING

Practice address

4134 Linden Ave Ste 306
Dayton, OH 45432-3035

Phone

(614) 314-5416

Fax

(614) 861-8842

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Grace Fongod, RN

Title

Ceo

Phone

(614) 314-5416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1790397016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 E LIVINGSTON AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683589",
            "telephone_number": "614-314-5416",
            "fax_number": "614-861-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 LINDEN AVE STE 306",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323035",
            "telephone_number": "614-314-5416",
            "fax_number": "614-861-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP'N ELIZABETH CLINICAL STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "FONGOD",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-314-5416",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Milton Phelps Jr.
• Ronald J Phelps Jr., AGACNP-BC
• Pheonix Transformation LLC
• Ayo Phifer
• Azia Acu' Phifer
• Laurie Kendall Phillippi, DMD
• Alexis N. Phillips, MSW, LSW
• Bre Anna Phillips
• Canaya Phillips
• Carla Phillips

• Health Service Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.