| NPI | 1013531177 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2020-06-04 |
| Last Updated | 2023-01-26 |
| Mailing Address | Po Box 100905 Atlanta, GA 30384-2727 United States Phone: (786) 594-6880 | Fax: (352) 273-7388 📍 View Map |
| Primary Practice Address | 13101 S Dixie Hwy Ste 400 Pinecrest, FL 33156-6530 United States Phone: (786) 467-5753 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 390200000X – Student in an Organized Health Care Education/Training Program | — | — |
| Yes | 363A00000X – Physician Assistant | FL | PA9113414 |
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About NPI 1013531177
Ean Phillips is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1013531177. The primary specialty listed is Physician Assistant. The provider is located in Pinecrest, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-06-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1013531177?
NPI 1013531177 belongs to Ean Phillips, a Physician Assistant in Pinecrest, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1013531177 active?
The current status of NPI 1013531177 in the NPPES registry is Active. The record was last updated on 2023-01-26.
What specialty is NPI 1013531177?
NPI 1013531177 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1013531177?
You can verify NPI 1013531177 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1013531177?
The primary practice address on file for NPI 1013531177 is 13101 S Dixie Hwy Ste 400, Pinecrest, FL 33156-6530. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1013531177 issued?
NPI 1013531177 was first issued (enumerated) on 2020-06-04. The NPPES record was last updated on 2023-01-26.
Practice Location Map
Ean Phillips is located at 13101 S Dixie Hwy Ste 400, Pinecrest, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ean Phillips. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1013531177. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | PA9113414 | FL |