M.D. Pamela Martin Phillips, NPI 1992760698
Diagnostic Radiology Physician in Charleston, WV, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1992760698 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Pamela Martin Phillips |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1120 Kanawha Blvd E, Charleston, WV, US |
| Provider Mailing Address | Po Box 11137, Charleston, WV, US, 253391137 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | 19277 |
| License State | WV |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 19277 | WV | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7243898 | VA | MEDICAID | 05 |
| 7243871 | VA | MEDICAID | 05 |
| 7243880 | VA | MEDICAID | 05 |
| 7243863 | VA | MEDICAID | 05 |
| 0122386000 | WV | MEDICAID | 05 |
| 6688-0024 | VA | CAREFIRST | 01 |
| 7247371 | VA | MEDICAID | 05 |
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|---|---|---|---|
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Katelyn Lucas Individual |
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Jenna Taylor Individual |
10 6th Ave W |
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Tisean Jayree Walker Individual |
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Montana Wallace Individual |
10 6th Ave W |
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Natasha Sharon Sexton Individual |
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Katheryn Joyce Bailey Individual |
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Alexis Perry Individual |
712 Mercer St Ste D |
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Stevie Dawn Cline Individual |
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Britney Brogan Individual |
267 Midway Rd |
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Mary Mccullough Individual |
1599 2nd Ave |
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