| Jordan Dean Phillips, MD | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-4418 | |
| (352) 273-8610 | |
| Not Available |
| Full Name | Jordan Dean Phillips |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568969442 | NPI | - | NPPES |
| 118393100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | ME161545 (Florida) | Secondary |
| 207L00000X | Anesthesiology | ME161545 (Florida) | Primary |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Dean Phillips, MD 2816 Smiling Hill Blvd, Edmond, OK 73013-6402 Ph: (405) 249-8668 | Jordan Dean Phillips, MD 1600 Sw Archer Rd, Gainesville, FL 32610-4418 Ph: (352) 273-8610 |
Dr. William Brit Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
Kyndal Smith, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Dr. Tessa Elisabeth Baumgardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 | |
Dr. Timothy Vincent Feldheim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 Fax: 352-273-8612 | |
Spencer Moreland, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-7986 | |
Jeffrey David White, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 | |
Dr. Arvin William Trippensee, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 |