Healthcare Provider Details

I. General information

NPI: 1144617358
Provider Name (Legal Business Name): JAMES PHILIP D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2015
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 EXPEDITION TRL STE 203
GETTYSBURG PA
17325-8599
US

IV. Provider business mailing address

20 EXPEDITION TRL STE 203
GETTYSBURG PA
17325-8599
US

V. Phone/Fax

Practice location:
  • Phone: 717-334-9535
  • Fax: 717-337-0340
Mailing address:
  • Phone: 717-334-9535
  • Fax: 717-337-0340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number592181
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS019637
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberQ9708
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberQ9708
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: