DR. PHILIP VAN ARSDALE MD NPI 1124645296

NPI Information

NPI: 1124645296
Provider Name: DR. PHILIP VAN ARSDALE, MD
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
PECOS Registration: Yes
Address: MADIGAN HOSPITAL 9040 JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431
Phone: (253) 968-0770

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NPI Details

DR. Philip Van Arsdale, MD is a military health care provider in Joint Base Lewis Mcchord, WA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Philip Van Arsdale, MD NPI is 1124645296. 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:

MADIGAN HOSPITAL 9040 JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431-060
Phone: (253) 968-0770

The NPI 1124645296 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 7/6/2020 and was last updated on 3/29/2024.

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	License Number	License State	Primary
1	208D00000X	General Practice	M-15911	IDAHO	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	171000000X	Military Health Care Provider	M15911	IDAHO	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: 11/21/2025

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