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DR. PHILLIP ASHLEY PYBASS MD NPI 1255355731


NPI Information

NPI: 1255355731
Provider Name: DR. PHILLIP ASHLEY PYBASS, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
1005 MAR WALT DRIVE
INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-8100
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DR. Phillip Ashley Pybass, MD is an internal medicine in Fort Walton Beach, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Phillip Ashley Pybass, MD NPI is 1255355731. 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:

1005 MAR WALT DRIVE
INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL
ZIP 32547-796
Phone: (850) 863-8100
Fax: (850) 862-6148

The enumeration date for this NPI number is 7/27/2006 and was last updated on 12/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine00022083ALABAMANo
2207R00000XInternal MedicineME111399FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1510-04721OTHERALABAMABLUE CROSS
2009910483MEDICAIDALABAMA
3051558765MEDICARE PINALABAMA
4H22377MEDICARE UPINALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.