Phillip Stubblefield, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35488 Issued in MA

Practice address

720 Harrison Ave
11TH Floor, Suite 1105
Boston, MA 02118-2371

Phone

(617) 638-8131

Fax

(617) 638-8040

NPI assigned

Nov 22, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1871576090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E CONCORD ST",
            "address_2": "6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182335",
            "telephone_number": "617-414-5174",
            "fax_number": "617-414-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE",
            "address_2": "11TH FLOOR, SUITE 1105",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371",
            "telephone_number": "617-638-8131",
            "fax_number": "617-638-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "35488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006642",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen M Stuart-Shor, RN, ANP
• Jennifer Wilkes Stuart, LICSW
• Keith Stuart, MD
• Lena Delle Caron Stuart, M.D.
• Marcus Deion Stuart
• Jocelyn Marie Stubbs, LMHC
• Rodriq E Stubbs, NP
• Jessica Laurel Studer, LICSW
• Justin David Studler, PHD
• Chelsea Lyn Studley, AU.D.

• Obstetrics & Gynecology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.