Healthcare Provider Details

I. General information

NPI: 1598267585
Provider Name (Legal Business Name): JOEL T PHILLIPS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2018
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 NORTHSHORE DR STE 400
NORTH LITTLE ROCK AR
72118-5312
US

IV. Provider business mailing address

5201 NORTHSHORE DR STE 400
NORTH LITTLE ROCK AR
72118-5312
US

V. Phone/Fax

Practice location:
  • Phone: 501-558-0200
  • Fax: 501-558-0201
Mailing address:
  • Phone: 501-558-0200
  • Fax: 501-558-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301114041
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: