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MR. DERALD PHILLIPS PA NPI 1972083137


NPI Information

NPI: 1972083137
Provider Name: MR. DERALD PHILLIPS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1901 MEDI PARK DR STE 2050
AMARILLO, TX
ZIP 79106
Phone: (806) 355-3352
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MR. Derald Phillips, PA is a medical physician assistant in Amarillo, TX with 6 years of experience. MR. Derald Phillips, PA NPI is 1972083137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1901 MEDI PARK DR STE 2050
AMARILLO, TX
ZIP 79106-109
Phone: (806) 355-3352

The NPI 1972083137 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 8/17/2018 and was last updated on 5/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2363AM0700XPhysician AssistantMedicalPA12454TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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