Active NPI
Stuart B Phillips, MD
- Orthopaedic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1972655827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 11402
- Practice address
- 2525 W Greenway Rd
Suite 114
Phoenix, AZ 85023-4226 - Phone
- (602) 863-6363
- Fax
- (602) 863-6611
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 11402 | AZ | Primary |
Addresses
Primary practice location
2525 W Greenway Rd
Suite 114
Phoenix, AZ 85023-4226
Mailing address
2525 W Greenway Rd
Suite 114
Phoenix, AZ 85023-4226
Phone (602) 863-6363
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11402 | AZ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972655827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W GREENWAY RD",
"address_2": "SUITE 114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850234226",
"telephone_number": "602-863-6363",
"fax_number": "602-863-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W GREENWAY RD",
"address_2": "SUITE 114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850234226",
"telephone_number": "602-863-6363",
"fax_number": "602-863-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "STUART",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "11402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.