Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861698342 Individual Practitioner Female Practitioner

Dr. Kassandra Jane Phillips , DO

Pediatrics • Midlothian, VA

Professional Overview & Biography Verified Profile Summary

Dr. Kassandra Phillips, DO is a registered healthcare professional specializing in Pediatrics in Midlothian, VA. Practice services are available at 2937 FOX CHASE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2937 Fox Chase Ln

Midlothian, VA 231124400

Telephone 8043723473
Associated Practice Facility / Clinic
🏢 Katebowersmd Facility NPI 1982191540

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Midlothian, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
37 Specialists

Practicing in Midlothian, VA (2079 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

CMS Verified: 2020-10-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0102206067

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.

Pediatrics - Clinical & Laboratory Immunology

NUCC Taxonomy Code: 2080I0007X

State License WV 2271

A pediatrician who specializes in clinical and laboratory immunology disease management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3810015268 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Julie Pavey , NP

Nurse Practitioner - Pediatrics

NPI 1720117021

Nurse Practitioner

NPI 1740570803

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 29, 2020

Registered at 2937 FOX CHASE LN, MIDLOTHIAN, VA 231124400 (Tel: 8043723473)

📍
Updated Business Mailing Address October 29, 2020

Registered at 2937 FOX CHASE LN, MIDLOTHIAN, VA 231124400 (Tel: 8043723473)

👤
Provider Name / Credentials Updated October 29, 2020

Recorded as KASSANDRA PHILLIPS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2020

Pediatrics (License #0102206067 in VA)

NPI Profile Active March 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2014

Registered at 400 FAIRVIEW HEIGHTS RD STE 302, SUMMERSVILLE, WV 266519308 (Tel: 3048727063)

📍
Updated Business Mailing Address March 10, 2014

Registered at 400 FAIRVIEW HEIGHTS RD STE 302, P. O. BOX 310, SUMMERSVILLE, WV 266519308 (Tel: 3048727063)

👤
Provider Name / Credentials Updated March 10, 2014

Recorded as KASSANDRA MILAM, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2014

Pediatrics (License #2271 in WV)

🟢
Initial NPI Registration & Enumeration June 22, 2007

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: 1861698342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2007
Last Update: October 29, 2020
Sole Proprietor: Yes

Mailing Address

2937 Fox Chase Ln

Midlothian, VA 231124400

Phone: 8043723473

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.