JACQUELINE PHILLIPS DPM INC
NPI 1821027756
Podiatrist in Detroit, MI

Active since July 02, 2006
5575 CONNER ST, SUITE 203, DETROIT, MI 48213(313) 345-4449 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Phillips Dpm Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE PHILLIPS DPM INC (NPI 1821027756) is a healthcare organization registered as a podiatrist in Detroit, Michigan and active in the NPI registry since July 2006. The organization lists Jacqueline Phillips, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1821027756
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameJACQUELINE PHILLIPS DPM INC
Location Address5575 CONNER ST, SUITE 203Detroit, MI 48213-6400
Mailing Address5575 Conner St, Suite 203Detroit, MI 48213-6400 · (313) 345-4449
Organization SubpartNo
Authorized OfficialJacqueline PhillipsPodiatrist · (313) 345-4449
Enumeration DateJuly 2, 2006
Last NPPES UpdateDecember 9, 2011
NPI 1821027756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MI · 5901001422
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 5901001422 (MI)
5575 CONNER ST, Detroit, MI 48213

Other Identifiers 5

Other480H232340MI · Bcbs Pin
Medicaid134313228MI
Medicare NSC4703600001MI
Medicare UPINT96946MI
Medicare PIN0P36510MI

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
5575 CONNER ST
DETROIT, MI 48213
Psychologist (Clinical)
5575 CONNER ST
DETROIT, MI 48213
Pharmacy (Community/Retail Pharmacy)
5575 CONNER ST, 1A PAVILION
DETROIT, MI 48213
Podiatrist
5575 CONNER ST, SUITE 203
DETROIT, MI 48213
Counselor (Professional)
5575 CONNER ST
DETROIT, MI 48213
Community/Behavioral Health
5575 CONNER ST
DETROIT, MI 48213
Community/Behavioral Health
5575 CONNER ST, SUITE 204
DETROIT, MI 48213
Clinic/Center (Urgent Care)
5575 CONNER ST
DETROIT, MI 48213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Phillips Dpm Inc's NPI number?

The NPI number for Jacqueline Phillips Dpm Inc is 1821027756. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Jacqueline Phillips Dpm Inc located?

Jacqueline Phillips Dpm Inc is located at 5575 Conner St Suite 203, Detroit, MI 48213. The listed phone number is (313) 345-4449.

What is Jacqueline Phillips Dpm Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Phillips Dpm Inc was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.