Dr. John R Phillips
Pediatric Cardiologist
1 Stadium Drive
Morgantown
, West Virginia 26506
Dr. John R Phillips
Pediatric Cardiologist
1 Stadium Drive
Morgantown
, West Virginia 26506
(304) 293-6963
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. John R Phillips
- Po Box 897
- Morgantown, WV
- Zip : 26507-0897
- Fax : (304) 293-6963
- Phone : (304) 293-7401
Second Address
- Dr. John R Phillips
- 1 Stadium Drive
- Morgantown, WV
- Zip : 26506
- Fax : (304) 293-6963
- Phone : (304) 598-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 20557 | WV |
National Provider Identifier
| NPI | 1255411187 |
|---|---|
| Provider Name | Dr. John R Phillips |
| First Address | Morgantown, WV 26507-0897 |
| Second Address | Morgantown, WV 26506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 30/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0184366000 | (05) | WV |
| H43556 | (02) | |
| PH6030471 | MEDICARE (01) | WV |
| WV7088G274 | MEDICARE HEARTNEXUS, INC. (01) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.