PHILLIP MARLOWE


Address: 3422 S 15th E, Idaho Falls, ID 83404-8262
Phone: 2085299292

PHILLIP MARLOWE (NPI# 1760044424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760044424
Entity Type Individual
Full Name PHILLIP MARLOWE
Credential PA-C
Practice Address 3422 S 15th E
Idaho Falls
ID 83404-8262
Practice Telephone 2085299292
Mailing Telephone 2085299292
Enumeration Date 2019-07-02
Last Update Date 2020-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2471C3402X Radiologic Technologist
Specialization: Radiography
Technologists, Technicians & Other Technical Service Providers
Y 363A00000X Physician Assistant PA-1886 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3422 S 15TH E
City IDAHO FALLS
State ID
Zip Code 83404-8262

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285621532 Michael T Harris Md, PC Clinic/Center 3422 S 15th E, Idaho Falls, ID 83404-8262 2005-10-03
1215314968 Hsiang-hua Wang Counselor 3422 S 15th E, Idaho Falls, ID 83404-8262 2015-05-01
1114343985 Kelly Stark Counselor 3422 S 15th E, Idaho Falls, ID 83404-8262 2014-03-17
1912335738 Family Resource Centers of America, Inc Clinic/Center 3422 S 15th E, Idaho Falls, ID 83404-8262 2013-10-15
1164712899 Sawtooth Rehab, Pllc Specialist 3422 S 15th E, Idaho Falls, ID 83404-8262 2011-04-14
1720387681 Travis Scott Hull Social Worker 3422 S 15th E, Idaho Falls, ID 83404-8262 2011-03-17
1376877795 David Aaron Petty Allergy & Immunology 3422 S 15th E, Idaho Falls, ID 83404-8262 2009-10-01
1235363169 Maria Teresa Alvarado Counselor 3422 S 15th E, Idaho Falls, ID 83404-8262 2009-05-06
1982841334 Karen Elise Bender Registered Nurse 3422 S 15th E, The Healing Sanctuary, Idaho Falls, ID 83404-8262 2009-01-07
1861651812 Michael Rex Social Worker 3422 S 15th E, Idaho Falls, ID 83404-8262 2008-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740646363 Chad Coon Physician Assistant 3405 Merlin Dr, Idaho Falls, ID 83404-7430 2016-01-12
1023489085 Kelly Meacham Physician Assistant 3389 Merlin Dr, Idaho Falls, ID 83404-7405 2015-10-15
1891188348 Alan Adams Physician Assistant 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 2015-03-09
1841460508 Keri Martin Physician Assistant 3360 Washington Parkway, Suite 2, Idaho Falls, ID 83404-2271 2008-03-08
1073676805 Monica J Nealis Physician Assistant 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322 2006-12-19
1639248008 Lori Ann Woodbury Physician Assistant 2327 Coronado St, Idaho Falls, ID 83404-7407 2006-11-07
1093803157 Tiffany Christiansen Physician Assistant 150 Shoup Ave Ste 17, Idaho Falls, ID 83402-3653 2006-10-11
1730190935 Roger Scott Malm Physician Assistant 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 2006-08-11
1316985229 Matthew J Merzlock Physician Assistant 3360 Washington Pkwy Ste 1, Idaho Falls, ID 83404-8333 2006-06-03
1649221912 Matthew R Nelson Physician Assistant 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 2006-05-12
Find all providers in IDAHO FALLS

Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

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.

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