Jeffery H Phillips, MD PHD FACS

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D21596 Issued in MD

Practice address

9400 Livingston Road
Suite 210
Fort Washington, MD 20744

Phone

(301) 248-2100

Fax

(301) 248-6624

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 20, 2015 through Oct 20, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Phillips & Green MD LP

  • Orthopaedic Surgery Physician
  • Fort Wash, MD
  • NPI 1427117787
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801957865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 LIVINGSTON ROAD",
            "address_2": "SUITE 210",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-248-2100",
            "fax_number": "301-248-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 LIVINGSTON ROAD",
            "address_2": "SUITE 210",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-248-2100",
            "fax_number": "301-248-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEFFERY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD PHD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D21596",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101029702",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DC",
            "license": "MD11000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Paultre-Michael, DDS
• Angela Denise Perry
• Matthew J Perry, DC
• Person Focused Community Services Inc.,
• Philip B Bovell, Mdpa
• Syed Haris Ahmed Pir, M.D
• Antwan Pixley, HHA
• Torrance M Poindexter, MBA
• Positive Energy Impact Transportation'LLC
• Desiree LW Potter

• Orthopaedic Surgery Physician in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.