Phillip J Stephan (NPI# 1053387399, PAC ID# 7315099074) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1053387399 |
| PAC ID by PECOS | 7315099074 |
| Professional Enrollment ID | I20090710000425 |
| Full Name | Phillip J Stephan |
| Address |
2200 Kell Blvd Wichita Falls TX 76309-4401 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1998 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450010 | UNITED REGIONAL HEALTH CARE SYSTEM |
| 450827 | KELL WEST REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | ||
| 5420 Kell Blvd, Wichita Falls, TX 76310-1610 |
| Street Address |
2200 KELL BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip | 76309-4401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Padakandla | Internal Medicine | 4842 Tortuga Trl, Wichita Falls, TX 76309-1228 | |
| John William Hayley | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Joe C. Hayley | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Jodi H Streich | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Terry L Kirkland | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Lee E Ackley | Physician Assistant | Kell West Family Practice Clinic | 4412 Kell W Blvd, Wichita Falls, TX 76309-4719 |
| Patricia M Ackley | Physician Assistant | Kell West Family Practice Clinic | 4412 Kell W Blvd, Wichita Falls, TX 76309-4719 |
| Roy York | Optometry | Dr. Laura Stancik, Optometrist, P. C. | 4210 Kell Blvd, Suite 108, Wichita Falls, TX 76309-4813 |
| Kyleigh G Mckeever | Optometry | Dr. Laura Stancik, Optometrist, P. C. | 4210 Kell Blvd, Suite 108, Wichita Falls, TX 76309-4813 |
| Laura Stancik | Optometry | Dr. Laura Stancik, Optometrist, P. C. | 4210 Kell Blvd, Suite 108, Wichita Falls, TX 76309-4813 |
| Find all physicians in zip 76309 | |||
| City | WICHITA FALLS |
| Zip Code | 76309 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | WICHITA FALLS + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Phillip J Stephan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.