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Deactivated NPI 1356416754 Deactivated / Inactive NPI Male Practitioner

Dr. Abraham Manuel Phillips , MD

Pediatrics • St Louis, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Abraham Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2006
NPI Deactivation Date January 10, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Abraham Phillips, MD was a registered Pediatrics practicing in St Louis, MO. Throughout an active medical career spanning 16 years, Dr. Phillips provided care at the practice location at 777 SOUTH NEW BALLAS ROAD until profile deactivation on 2022-01-10.

Practice Location & Contact Primary Location

Practice Address

777 South New Ballas Road
Suite 223w

St Louis, MO 63141

Telephone 3145679190
Fax 3145679191

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in St Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
69 Specialists

Practicing in St Louis, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 32424

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 10, 2022

Record deactivated on January 10, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 777 SOUTH NEW BALLAS ROAD, SUITE 223W, ST LOUIS, MO 63141 (Tel: 3145679190)

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Updated Business Mailing Address July 08, 2007

Registered at 777 SO NEW BALLAS ROAD, SUITE 223W, ST LOUIS, MO 63141 (Tel: 3145679190)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ABRAHAM PHILLIPS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #32424 in MO)

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Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356416754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 08, 2007
Deactivation Date: January 10, 2022

Mailing Address

777 So New Ballas Road, Suite 223w

St Louis, MO 63141

Phone: 3145679190

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.