Organization Active NPI

Carol Anne Phillips, M.D., LLC

  • Specialist
  • Baltimore, MD
National Provider Identifier
1821382896
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0047752 Issued in MD
Legal business name
CAROL ANNE PHILLIPS, M.D., LLC
Practice address
301 Saint Paul St
Suite 812
Baltimore, MD 21202-2102
Phone
(410) 332-9878
Fax
(410) 547-1805
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Carol Phillips, M.D.
Title
Physician
Phone
(410) 332-9878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0047752 MD Primary

Addresses

Primary practice location

301 Saint Paul St
Suite 812
Baltimore, MD 21202-2102

Mailing address

301 Saint Paul St
Suite 812
Baltimore, MD 21202-2102
Phone (410) 332-9878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1821382896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL ST",
            "address_2": "SUITE 812",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9878",
            "fax_number": "410-547-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL ST",
            "address_2": "SUITE 812",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9878",
            "fax_number": "410-547-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL ANNE PHILLIPS, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-332-9878",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0047752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.