Tina J. Philip, D.O. PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TINA J. PHILIP, D.O. PLLC

Doing business as

Oakwood Family Medicine

Practice address

511 Oakwood Blvd Ste 202
Round Rock, TX 78681-4068

Phone

(512) 388-0511

NPI assigned

Nov 13, 2019

Last updated

May 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Philip, D.O.NPI 1174793970

Title

President

Phone

(512) 388-0511

Specialties & licenses 1

Addresses

Other names 1

• Oakwood Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina J Philip, DO

  • Family Medicine Physician
  • Round Rock, TX
  • NPI 1174793970
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1841835915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 OAKWOOD BLVD STE 202",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814068",
            "telephone_number": "512-388-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OAKWOOD BLVD STE 202",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814068",
            "telephone_number": "512-388-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA J. PHILIP, D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-388-0511",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.