TONY PHILLIPS (NPI# 1003841560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003841560 |
| Entity Type | Individual |
| Full Name | TONY PHILLIPS |
| Credential | PA |
| Practice Address |
312 N Pacific St Mineola TX 75773-1712 |
| Practice Telephone | 9035690020 |
| Mailing Telephone | 9035690020 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1129 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891168654 | Tony Antoine Phillips | Pharmacist | 145 Oak Knl, Fayetteville, GA 30214-4351 | 2015-11-02 |
| 1154939551 | Tony Phillips | Optometrist | 1311 S Main St Ste 104, Mount Airy, MD 21771-5451 | 2020-07-21 |
| 1427208404 | Tony Phillips | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2008-09-25 |
| Street Address |
312 N PACIFIC ST |
| City | MINEOLA |
| State | TX |
| Zip Code | 75773-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368470 | J.l. Miguez, Inc. | Hearing Aid Equipment | 125 W. Broad Street, Mineola, TX 75773 | 2020-02-17 |
| 1063992709 | Revis Pernell | Licensed Vocational Nurse | 497 Cr 2363, Mineola, TX 75773 | 2018-08-21 |
| 1205338258 | Cricket Weber | Registered Nurse | 555 Private Road 6307, Mineola, TX 75773 | 2018-03-06 |
| 1942720354 | Heidi Leann Hoke | Nutritionist | 123 N. Line St., Mineola, TX 75773 | 2017-06-27 |
| 1083787865 | East Texas Rayon Services, LLC | Durable Medical Equipment & Medical Supplies | 5361 S State High Way 37, Mineola, TX 75773 | 2006-11-17 |
| 1902999113 | Johnny Allen Colegrove | Chiropractor | 1044 N Pacific, Mineola, TX 75773 | 2006-10-02 |
| 1679670731 | John Christopher Lee | Dentist | 223 N Graham, Mineola, TX 75773 | 2006-09-20 |
| 1154358638 | Jose Ricardo Martinez | Family Medicine | 5875 South Hwy. 37, Mineola, TX 75773 | 2006-06-28 |
| 1891167151 | Jamie Johnson | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773 | 2015-10-27 |
| 1184941320 | Dan Riddle White | Dentist | 1800 South Pacific, Mineola, TX 75773 | 2010-04-28 |
| Find all providers in zip 75773 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1609394436 | Jaime Lynn Moyles | Physician Assistant | 200 Old Country Rd Ste 365, Mineola, NY 11501-4240 | 2017-08-31 |
| 1215191580 | Sreedhar P. Sudnagunta | Physician Assistant | 80 E Jericho Tpke, Suite 100, Mineola, NY 11501-3140 | 2008-07-15 |
| 1881865533 | Abo Suyonov | Physician Assistant | 700 Hickville Road, 259 1st Street, Mineola, NY 11501 | 2008-03-20 |
| 1720268097 | Anjli Kakwani | Physician Assistant | Northwell Gohealth Urgent Care, 50 East Jericho Turnpike, Mineola, NY 11501 | 2007-11-05 |
| 1144419292 | Iosif Galibov | Physician Assistant | 222 Station Plz N Ste 428, Mineola, NY 11501-3819 | 2007-10-15 |
| 1194883066 | Shannon Marie Dipaola | Physician Assistant | 259 First St, Mineola, NY 11501-3957 | 2006-12-04 |
| 1154941425 | Russell Broming | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2020-04-16 |
| 1700436136 | Stacey Krasnoff | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2019-09-17 |
| 1750931499 | Alexandra Sanfilippo | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2019-09-15 |
| Find all providers in MINEOLA | ||||
Please comment or provide details below to improve the information on TONY PHILLIPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.