Russell E Phillips MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RUSSELL E PHILLIPS MD LLC

Practice address

100 E Lancaster Ave Ste 415
Wynnewood, PA 19096-3439

Phone

(610) 896-5710

Fax

(610) 896-1667

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Russell E Phillips, MD

Title

Sole Member

Phone

(610) 986-5710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1841755048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 415",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963439",
            "telephone_number": "610-896-5710",
            "fax_number": "610-896-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 415",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963439",
            "telephone_number": "610-896-5710",
            "fax_number": "610-896-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL E PHILLIPS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "610-986-5710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowe Dermatology, PLLC
• David L Rubenstein, MD
• Melissa Malkin Rubin, DO
• Lori Rugg, CRNP
• Scott Allen Rushton, M.D.
• Russell E. Phillips, M.D., P.C.
• Eric Marc Russell, DO
• W Randall Russell, M.D.
• Nancy C Rutherford, NURSE PRACTITIONER
• S.T.a.R. Sexual Trauma and Recovery Inc.

• Psychiatry Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.