Jonathan H Phillips, MD | |
1222 S Orange Ave, Orlando, FL 32806-1215 | |
(321) 841-3040 | |
(321) 841-3049 |
Full Name | Jonathan H Phillips |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 1222 S Orange Ave, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518937689 | NPI | - | NPPES |
ME64639 | Other | FL | MEDICAL LICENSE |
374268700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | ME64639 (Florida) | Secondary |
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | ME64639 (Florida) | Primary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
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Jonathan H Phillips, MD 1222 S Orange Ave, Orlando, FL 32806-1215 Ph: (321) 841-3040 | Jonathan H Phillips, MD 1222 S Orange Ave, Orlando, FL 32806-1215 Ph: (321) 841-3040 |
Dr. Nam Dinh, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5979 Vineland Rd Ste 101, Orlando, FL 32819 Phone: 407-355-3120 | |
Bryan David Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Orange Ave, 5th Floor, Orlando, FL 32806 Phone: 321-841-1764 Fax: 321-841-1870 | |
Callie Ann Jewett, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25 W Crystal Lake St Ste 200, Orlando, FL 32806 Phone: 407-254-2500 | |
Dr. Michael David Riggenbach, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 W Crystal Lake St, Suite 200, Orlando, FL 32806 Phone: 407-254-2500 Fax: 407-423-2789 | |
George John Haidukewych, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 89 W Copeland Dr, 3rd Floor, Orlando, FL 32806 Phone: 407-649-6878 Fax: 407-843-7381 | |
Vonda Joy Wright, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6775 Chopra Terrace, Suite 300, Orlando, FL 32827 Phone: 689-216-8000 | |
Dr. Joseph D Funk, DPM Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 W Crystal Lake St, Suite 200, Orlando, FL 32806 Phone: 407-254-2500 Fax: 407-254-2557 |