MEDICARE: PHILLIPS & GREEN MD LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1427117787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILLIPS & GREEN MD LP

Provider Business Mailing Address
First Line	:	9400 LIVINGSTON ROAD
Second Line	:	SUITE 210
City	:	FORT WASH
State	:	MD
Zip	:	20744
Country	:	US
Telephone Number	:	301-248-2100
Fax Number	:	301-248-2182

Provider Business Practice Location Address
First Line	:	9400 LIVINGSTON ROAD
Second Line	:	SUITE 210
City	:	FORT WASH
State	:	MD
Zip	:	20744
Country	:	US
Telephone Number	:	301-248-2100
Fax Number	:	301-248-2182

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY H PHILLIPS
Credential	:	MD PHD FACS
Telephone Number	:	301-248-2100

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	08/22/2020

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