MAXWELL PHILLIPS MD
NPI 1972232197
Student in an Organized Health Care Education/Training Program in Flint, MI
NPI Status: Active since June 06, 2022
Contact Information
401 S BALLENGER HWY
FLINT, MI
ZIP 48532
Phone: (810) 342-2000
Fax: (810) 342-3659
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About MAXWELL PHILLIPS
This page provides the complete NPI Profile along with additional information for Maxwell Phillips, a primary care provider established in Flint, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1972232197 assigned on June 2022. The practitioner's primary taxonomy code is 390200000X with license number 4351049363 (). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1972232197
- Provider Name
- MAXWELL PHILLIPS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 401 S BALLENGER HWY FLINT, MI 48532
- Location Phone
- (810) 342-2000
- Location Fax
- (810) 342-3659
- Mailing Address
- 401 S BALLENGER HWY FLINT, MI 48532
- Mailing Phone
- (810) 342-2000
- Mailing Fax
- (810) 342-3659
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2022
- Last Update Date
- 06-13-2022
- Code Navigator
A primary care provider (PCP) like Maxwell Phillips sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- 4351049363
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Maxwell Phillips is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 2 | 3 | 2 | 1 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 4 | 3 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 4 + 3 + 4 + 1 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1972232197 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912906934 | SELECT SPECIALTY HOSPITAL - FLINT INC Organization | Long Term Care Hospital | 401 S BALLENGER HWY FLINT, MI 48532 (810) 762-6699 |
| 1780666586 | MS. ALANNA MARIE TRZIL LMSW-CSW Individual | Social Worker (Clinical) | 401 S BALLENGER HWY FLINT, MI 48532 (810) 342-2000 |
| 1285617233 | DR. EDWIN H GULLEKSON MD Individual | Family Medicine | 401 S BALLENGER HWY FLINT, MI 48532 (810) 342-2450 |
| 1215910971 | SUSAN RENE BORTON N.P. Individual | Nurse Practitioner (Family) | 401 S BALLENGER HWY FLINT, MI 48532 (810) 342-2108 |
| 1437138948 | ELIZABETH MARY HAM CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN: SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1316926777 | BRENDA WASHINGTON ALTUNA CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN: SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1912987546 | DR. DEBORAH ANN SMITH PHARMD Individual | Pharmacist | 401 S BALLENGER HWY FLINT, MI 48532 (810) 342-2904 |
| 1225008485 | CARLOS PETROZZI MD Individual | Internal Medicine | 401 S BALLENGER HWY FLINT, MI 48532 (810) 342-1000 |
| 1982674669 | SUSAN J. SMITH MD Individual | Internal Medicine | 401 S BALLENGER HWY FLINT, MI 48532 (810) 342-1000 |
| 1477526556 | CINTA M BASSO CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1871566604 | LINDA IRENE SOLTIS CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1942273750 | JANICE RHODES MOSLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1235102815 | MARY K MARTIN CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1407829062 | PAUL J. DIFFENDERFFER CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (840) 342-4917 |
| 1164495735 | ELIZABETH A GOMON CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1063485647 | ROBERT MALONEY CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1730153370 | PAMELA DARLENE MARTIN CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1306810825 | JASON FRANCIS RUSSO CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1033186762 | ROBIN L ZERKA CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
| 1083681969 | JANIE MARIE TISCHLER CRNA Individual | Nurse Anesthetist, Certified Registered | 401 S BALLENGER HWY ATTN SURGICAL SERVICES FLINT, MI 48532 (810) 342-4917 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972232197, enumerated in the NPI registry as an "individual" on June 06, 2022
The provider is located at 401 S Ballenger Hwy Flint, Mi 48532 and the phone number is (810) 342-2000
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 06, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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