ETHAN MICHAEL PHILPOTT M.D. NPI 1619062106

NPI Information

  • NPI: 1619062106
  • Provider Name: ETHAN MICHAEL PHILPOTT, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 2255 N. SCOTTSDALE ROAD
    SCOTTSDALE, AZ
    ZIP 85257
  • Phone: (480) 464-8000

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NPI Details

Ethan Michael Philpott, M.D. is a plastic and reconstructive surgery surgery in Scottsdale, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. Ethan Michael Philpott, M.D. NPI is 1619062106. 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:

2255 N. SCOTTSDALE ROAD
SCOTTSDALE, AZ
ZIP 85257
Phone: (480) 464-8000
Fax: (480) 990-2556

The enumeration date for this NPI number is 10/3/2006 and was last updated on 2/19/2019.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery036127162ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1074755OTHERGEORGIAGA MEDICAL LICENSE

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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