Michael Stephen Phillips, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E 4598 Issued in TX

Practice address

1301 W 7TH St
Suite # 121
Ft Worth, TX 76102-2651

Phone

(817) 348-0425

Fax

(817) 748-0425

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  NPD
• Euless Health Care Corp

  • Health Service Clinic/Center
  • Hurst, TX
  • NPI 1770819559
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1942234554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 7TH ST",
            "address_2": "SUITE # 121",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761022651",
            "telephone_number": "817-348-0425",
            "fax_number": "817-748-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 7TH ST",
            "address_2": "SUITE # 121",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761022651",
            "telephone_number": "817-348-0425",
            "fax_number": "817-748-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4598",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E 4598",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E 4598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "POQD231",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Harakal Phillips, PH.D, LCSW
• Katey Zelle Phillips, DNP, CRNA
• Leslie Anne Phillips, MD
• Leslie Marie Phillips, RN
• Megan D Phillips, RN
• Nancy Phillips, LVN
• Randal Craig Phillips, CRNA
• Randall R Phillips, DO
• Thomas L Phillips, D.D.S.
• Wendy Phillips, DO

• General Practice Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.