Active NPI
Russell E. Phillips, M.D., P.C.
- Psychiatry Physician
- Wynnewood, PA
National Provider Identifier
1881887115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD015455E
- Legal business name
- RUSSELL E. PHILLIPS, M.D., P.C.
- Practice address
- 31 Lankenau Medical BLDG. West
100 Lancaster Avenue
Wynnewood, PA 19096-3450 - Phone
- (610) 896-5710
- NPI assigned
- Aug 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell E. Phillips, M.D.
- Title
- President
- Phone
- (610) 896-5710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD015455E | PA | Primary |
Addresses
Primary practice location
31 Lankenau Medical BLDG. West
100 Lancaster Avenue
Wynnewood, PA 19096-3450
Mailing address
31 Lankenau Medical BLDG. West
100 Lancaster Avenue
Wynnewood, PA 19096-3450
Phone (610) 896-5710
National Provider Directory
National Provider DirectoryLocations
100 E Lancaster Ave
Ste 415
Wynnewood, PA 19096
Phone (610) 642-6292
31 Lankenau Medical Bldg W
#100
Wynnewood, PA 19096
Phone (610) 896-5710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187654400000",
"number": "1881887115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 LANKENAU MEDICAL BLDG. WEST",
"address_2": "100 LANCASTER AVENUE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-896-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 LANKENAU MEDICAL BLDG. WEST",
"address_2": "100 LANCASTER AVENUE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-896-5710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL E. PHILLIPS, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-896-5710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD015455E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.