MR. PHILLIP SCOTT GILLIAM PA NPI 1841372273

NPI Information

NPI: 1841372273
Provider Name: MR. PHILLIP SCOTT GILLIAM, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1509 W TRUMAN RD
INDEPENDENCE, MO
ZIP 64050
Phone: (816) 836-6901
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MR. Phillip Scott Gilliam, PA is a medical physician assistant in Independence, MO. MR. Phillip Scott Gilliam, PA NPI is 1841372273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1509 W TRUMAN RD
INDEPENDENCE, MO
ZIP 64050-436
Phone: (816) 836-6901
Fax: (816) 836-4400

The NPI 1841372273 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 enumeration date for this NPI number is 10/19/2006 and was last updated on 7/8/2019.

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
1	363A00000X	Physician Assistant		2005017775	MISSOURI	No
2	363AM0700X	Physician Assistant	Medical	2005017775	MISSOURI	Yes

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: 4/28/2024

NPI Synchronization or Removal

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