Active NPI
George W Phillips, DC
- Chiropractor
- Austintown, OH
National Provider Identifier
1841204344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2462
- Practice address
- 253 S Canfield-Niles Rd
Unit B
Austintown, OH 44515 - Phone
- (330) 793-6790
- Fax
- (330) 793-6794
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2462 | OH | Primary |
Addresses
Primary practice location
253 S Canfield-Niles Rd
Unit B
Austintown, OH 44515
Mailing address
253 S Canfield-Niles Rd
Unit B
Austintown, OH 44515
Phone (330) 793-6790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009196 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060125000004 | OH | Practitioner - Chiropractic | 5698799328 | Practice locations: Austintown, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
253 S Canfield Niles Rd
Austintown, OH 44515-4082
Phone (330) 793-6790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2462 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841204344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 S CANFIELD-NILES RD",
"address_2": "UNIT B",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "44515",
"telephone_number": "330-793-6790",
"fax_number": "330-793-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 S CANFIELD-NILES RD",
"address_2": "UNIT B",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "44515",
"telephone_number": "330-793-6790",
"fax_number": "330-793-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "GEORGE",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009196",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austintown, OH
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.