Philip Gregory Foutch, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

2305 Issued in AZ

Practice address

603 W Baseline Rd Ste 200
Mesa, AZ 85210-6047

Phone

(480) 461-1088

Fax

(480) 461-1657

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mesa Az Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1770557233
  NPD (past)
• Mesa Gastrointestinal Assoc PC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1821295502
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1790746717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165059",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W BASELINE RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106047",
            "telephone_number": "480-461-1088",
            "fax_number": "480-461-1657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 S Dobson Rd",
            "address_2": "ste 302",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024725",
            "country_code": "US",
            "telephone_number": "480-461-1088 x105",
            "fax_number": "480-461-1657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUTCH",
        "first_name": "PHILIP",
        "middle_name": "GREGORY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mesagi@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Arizona Digestive Health, PC",
            "address_1": "603 W Baseline Rd Ste 200",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852106047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Four Directions LLC
• Four Directions LLC
• Four Peaks Anesthesia, LLC
• Four Peaks Therapy
• Four Star Home Health and Hospice Care, Inc.
• Andrea Christine Fowler, B.A,
• Bailey Le Shea Fowler
• Michelle Lyn Penfield Fowler, MA, LAC
• Richard F Fowler, MD
• Sean Cody Fowler, MACC, DO

• Gastroenterology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.