Christopher M Phillips, DPM.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

923 Issued in MN

Practice address

4520 Centerville Rd
White Bear Lake, MN 55127-3602

Phone

(651) 426-3995

Fax

(651) 426-5626

NPI assigned

Jun 22, 2011

Last updated

Aug 30, 2024By the provider in NPPES

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Bear Foot and Ankle Clinic IncGroup PAC ID 0941423396, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Sandstone Hospital, Sandstone, MN, CCN 241309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Bear Foot and Ankle Clinic Inc

  • Foot & Ankle Surgery Podiatrist
  • White Bear Lake, MN
  • NPI 1467879684
  Medicare reassignment Care Compare group NPD Authorized official
• White Bear Foot and Ankle Clinic, Inc.

  • Podiatric Clinic/Center
  • White Bear Lake, MN
  • NPI 1659777290
  NPD (past) Authorized official
• Maplewood Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Maplewood, MN
  • NPI 1912237652
  NPD
• Maplewood Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Grantsburg, WI
  • NPI 1821328980
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pine Medical Center

  dba Essentia Health Emergency Medical Services-Sandstone

  • Ambulance
  • Sandstone, MN
  • NPI 1154852937

  Hospital

  Care Compare affiliation
• Pine Medical Center

  dba Essentia Health Sandstone

  • Critical Access Hospital
  • Sandstone, MN
  • NPI 1326041633
  Care Compare affiliation

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1891081386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440961086",
            "telephone_number": "216-645-7242",
            "fax_number": "440-975-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CENTERVILLE RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551273602",
            "telephone_number": "651-426-3995",
            "fax_number": "651-426-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "DPM.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472603200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jo Penn, LPCC
• Anna Lee Percival, OD
• Jessica Walker Perkins
• Danielle R Perry Ramirez, MD
• David Michael Perry, O.D.
• Phoenix Residence, Inc.
• PHS-White Bear Lake LLC (Harbor Crossing)
• Paige Pinnow
• Javier Pinon Jr.
• Paolo Emil Puno-Mandapat Pinto

• Foot & Ankle Surgery Podiatrist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.