NPIMap

Individual provider Active NPI

Thomas Hogeman Phillips, MD

  • Urology Physician
  • Matthews, NC
National Provider Identifier
1801839378
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
36580 Issued in NC
Practice address
1450 Matthews Township Pkwy
Suite 350
Matthews, NC 28105-2387
Phone
(704) 841-8877
Fax
(704) 841-8188
NPI assigned
Jun 13, 2006
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36580 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy
Suite 350
Matthews, NC 28105-2387

Mailing address

PO Box 36488
Charlotte, NC 28236-6488
Phone (704) 248-3400

Other identifiers 3

IdentifierTypeStateIssuer
340016949OtherNCRAILROAD MCRE #
9599OtherNCPARTNERS PROVIDER #
67667OtherNCBCBS INDIVIDUAL PROV#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000574 NC Practitioner - Urology 8729012729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

521 Lauchwood Dr
Laurinburg, NC 28352-5502
Phone (910) 291-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36580NCMDUrology Physician
11597SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Scotland Memorial Hospital, Inc CurrentSince Jul 1, 2022 Accepting new patients
Stone Institute of the Carolinas LLC Urology CurrentSince Jul 1, 1993 Accepting new patients
Scotland Memorial Hospital Inc Urology CurrentSince Jul 1, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Urology Specialists of the Carolinas PastSince May 26, 2024 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

521 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-1702

Interoperability endpoints

  • Direct secure messaging: tphillips500044@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1801839378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36488",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282366488",
            "telephone_number": "704-248-3400",
            "fax_number": "704-337-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY",
            "address_2": "SUITE 350",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052387",
            "telephone_number": "704-841-8877",
            "fax_number": "704-841-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "THOMAS",
        "middle_name": "HOGEMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "36580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCRE #",
            "identifier": "340016949",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PROVIDER #",
            "identifier": "9599",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROV#",
            "identifier": "67667",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.