Organization
PHILLIPS AND LEVITT SURGICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW W PHILLIPS MD (OWNER)
(330) 364-8011
Entity
Organization
Contact information
Practice address
340 OXFORD ST, SUITE 220, DOVER, OH 44622-1967
(330) 364-8011
(330) 364-0058
Mailing address
340 OXFORD ST, SUITE 220, DOVER, OH 44622-1967
(330) 364-8011
(330) 364-0058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139927
ANTHEM
—
01
—
000000139928
ANTHEM
—
01
—
000000365717
ANTHEM
—
01
—
0646330
AETNA
—
01
—
0658677
AETNA
—
01
—
16768029200
OBWC
—
01
—
167680292001
MEDICAL MUTUAL OF OH
—
01
—
20360282400
OBWC
—
01
—
203602824002
MEDICAL MUTUAL OF OH
—
01
—
28944724500
OBWC
—
01
—
289447245005
MEDICAL MUTUAL OF OH
—
01
—
7436728
AETNA
—
01
—
I78880
RR MEDICARE
—
Enumeration date
02/15/2006
Last updated
08/22/2020
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