Beverley E Phillipson, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

11071 Issued in OR

Practice address

107 SE Swan Ave
Siletz, OR 97380

Phone

(541) 444-1030

Fax

(541) 444-1278

NPI assigned

Sep 6, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Confederated Tribes of Siletz

  • Federally Qualified Health Center (FQHC)
  • Lincoln City, OR
  • NPI 1306667845
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790888097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973800320",
            "telephone_number": "541-444-1030",
            "fax_number": "541-444-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE SWAN AVE",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "97380",
            "telephone_number": "541-444-1030",
            "fax_number": "541-444-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPSON",
        "first_name": "BEVERLEY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "11071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ray Oleman, CRM
• Justyne Oleman
• Frank Lowry Parks, P.A.-C.
• Danielle Shaunte Payne
• Zebuli Lawrance Payne, CADC I
• Angeline Deloris Poirier, THW
• Ashliegh Victoria Ramirez
• Jess William Ramsey, CADC-R
• Jacob Raymond Reid, CSWA
• Francisca Darlene Rilatos, CRM

• Endocrinology, Diabetes & Metabolism Physician in Siletz, OR
• Providers in Siletz, OR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.