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Export Provider Record NPI 1124160296
John Martin PhillipsM.D.
Active
NPI Number1124160296
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1124160296
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-02-13
Last Updated2019-05-03
Mailing AddressPo Box 23229
Owensboro, KY 42304-3229
United States
Phone: (270) 688-1330 | Fax: (270) 688-1338
📍 View Map
Primary Practice Address1000 Breckenridge St Ste 300
Owensboro, KY 42303-0877
United States
Phone: (270) 688-4480 | Fax: (270) 688-4489
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDKY201142810
MEDICAIDKY7100077830
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsKY42304
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About NPI 1124160296

John Martin Phillips M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124160296. The primary specialty listed is Pediatrics. The provider is located in Owensboro, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124160296?

NPI 1124160296 belongs to John Martin Phillips M.D., a Pediatrics in Owensboro, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124160296 active?

The current status of NPI 1124160296 in the NPPES registry is Active. The record was last updated on 2019-05-03.

What specialty is NPI 1124160296?

NPI 1124160296 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124160296?

You can verify NPI 1124160296 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124160296?

The primary practice address on file for NPI 1124160296 is 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124160296 issued?

NPI 1124160296 was first issued (enumerated) on 2007-02-13. The NPPES record was last updated on 2019-05-03.

Practice Location Map

John Martin Phillips is located at 1000 Breckenridge St Ste 300, Owensboro, KY. Use the map below to find directions or verify the practice location.

📍 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as John Martin Phillips. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124160296. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics42304KY
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162