S Douglas Phillips, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

1871661205 Issued in UT

Practice address

2910 Washington Blvd
Suite 310
Ogden, UT 84401-3751

Phone

(801) 621-6671

Fax

(801) 627-6679

NPI assigned

Sep 20, 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

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.

• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD (past)
• Pathology Services PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Cedar City, UT
  • NPI 1992777601
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831296938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844020629",
            "telephone_number": "801-621-6671",
            "fax_number": "801-627-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 WASHINGTON BLVD",
            "address_2": "SUITE 310",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013751",
            "telephone_number": "801-621-6671",
            "fax_number": "801-627-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "S",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "1871661205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Raphael Phelps, FNP, D.C.
• Nathan Phelps, MD
• Philip B. Johnson, M.S., P.C.
• Daniel Barratt Phillips, LCMHC
• Krystle Phillips
• Terry Lynn Phillips, NP
• Phoenix Mental Health Services
• Greg M. Pickett, O.D.
• Dee Justin Pierce, PHARMD
• Joanna Janeen Pierce, CM

• Diagnostic Radiology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Diagnostic Radiology Physician in Utah

• 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.