MR. EDWIN LANAR PHILLIPS (NPI# 1356341325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356341325 |
| Entity Type | Individual |
| Full Name | MR. EDWIN LANAR PHILLIPS |
| Credential | PA C |
| Practice Address |
309 Saint Lukes Dr Montgomery East Family Practice PC Montgomery AL 36117-7109 |
| Practice Telephone | 3342720066 |
| Practice Fax Number | 3342725015 |
| Mailing Telephone | 3342720066 |
| Mailing Fax Number | 3342725015 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-043 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366873416 | Edwin Robert Phillips | Pathology | 3506 Muirfield Ave, Toledo, OH 43614-3637 | 2013-11-27 |
| 1174784201 | Edwin Phillips | Case Manager/Care Coordinator | 2830 Stockton Blvd, Sacramento, CA 95817-2301 | 2008-06-20 |
| Street Address |
309 SAINT LUKES DR MONTGOMERY EAST FAMILY PRACTICE PC |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896980 | Robert H Moon | Family Medicine | 309 Saint Lukes Dr, Montgomery East Family Practice PC, Montgomery, AL 36117-7109 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| 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 |
|---|---|---|---|---|
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1154803179 | Ashley Goad | Physician Assistant | 269 Lakeside Hills Dr, Montgomery, TX 77316-6895 | 2018-09-06 |
| 1831550003 | Ruchi Patel | Physician Assistant | 2060 Berryhill Road, Montgomery, AL 36117 | 2016-03-15 |
| 1346600939 | Patrick Tyler Pair | Physician Assistant | 440 Taylor Rd Ste 3380, Montgomery, AL 36117-3587 | 2016-02-25 |
| 1720403066 | Suzanne Cullers | Physician Assistant | 18059 Highway 105 W Ste 120, Montgomery, TX 77356-5001 | 2014-02-24 |
| 1790110690 | Lisa Diane Vatani | Physician Assistant | 59 La Costa Dr, Montgomery, TX 77356-5352 | 2013-09-10 |
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1235488289 | Kristin L Sponaugle | Physician Assistant | 1898 Mulberry St, Montgomery, AL 36106-1526 | 2012-09-06 |
| 1457626111 | Jeremy Romine | Physician Assistant | 3101 Tine Ave, Montgomery, AL 36108-2309 | 2012-03-14 |
| 1184680431 | Trudie Dianne Seirafi | Physician Assistant | 4250 Carmichael Ct N, Montgomery, AL 36106-2874 | 2006-04-25 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on MR. EDWIN LANAR 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.