Active NPI
Richard Blair Phinney, MD
- Ophthalmology Physician
- Southern Pines, NC
National Provider Identifier
1952388308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2016-00709
- Practice address
- 2170 Midland Rd
Southern Pines, NC 28387-2927 - Phone
- (910) 295-2100
- Fax
- (910) 295-5339
- NPI assigned
- Dec 28, 2005
- Last updated
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036-082190 | IL | |
| Ophthalmology Physician | 207W00000X | 27985 | IA | |
| Ophthalmology Physician | 207W00000X | 2016-00709 | NC | Primary |
Addresses
Primary practice location
2170 Midland Rd
Southern Pines, NC 28387-2927
Mailing address
2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078956 | Medicaid | IA | |
| 036082190 | Medicaid | IL | |
| 26568 | Other | IA | IA GROUP MEDICARE |
| 0060350 | Other | IA | IA GROUP MEDICAID |
| 790730 | Other | IL | IL GROUP MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27985 | IA | MD | Ophthalmology Physician |
| 036-082190 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons Associates PC | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- richard.phinney.p2@direct.urologyqc.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1952388308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 MIDLAND RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872927",
"telephone_number": "910-295-2100",
"fax_number": "910-295-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 MIDLAND RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872927",
"telephone_number": "910-295-2100",
"fax_number": "910-295-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHINNEY",
"first_name": "RICHARD",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-082190",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "27985",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "2016-00709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078956",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082190",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICARE",
"identifier": "26568",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICAID",
"identifier": "0060350",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL GROUP MEDICARE",
"identifier": "790730",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
- Peterkin & Associates, Inc.
- Petty Chiropractic, PLLC (Carolina Chiropractic)
- John Adam Petty, D.C.
- Tam T Pham, RPH
- Douglas Anthony Phillips, CRNA
- Physical Therapy of Southern Pines, LLC
- Leo Angelo Pilapil
- Pinehurst Medical Clinic, Inc. (PMC Reference Lab)
- Natasha Carrie Pinheiro, D.C.
- Play2-Learn Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.