EVAN PHILLIPS (NPI# 1184196784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184196784 |
| Entity Type | Individual |
| Full Name | EVAN PHILLIPS |
| Credential | PA |
| Practice Address |
1103 Kaliste Saloom Rd Ste 100&102 Lafayette LA 70508-5783 |
| Mailing Address |
100 Windchase Dr Lafayette LA 70508-6546 |
| Practice Telephone | 2252745148 |
| Mailing Telephone | 2252745148 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
1O | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285027755 | Evan Phillips | Registered Nurse | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2015-03-09 |
| 1760818637 | Evan Turner Phillips | Chiropractor | 447 Main Rd, Carmel, ME 04419-3547 | 2013-09-23 |
| 1184816951 | Evan Duane Phillips | Counselor | 10 Pier 1, Ste. 308, Astoria, OR 97103-6300 | 2007-08-15 |
| 1164506465 | Evan Alan Phillips | Optometrist | 11225 Nall Ave, Ste. 100, Leawood, KS 66211-1669 | 2006-10-24 |
| Street Address |
1103 KALISTE SALOOM RD STE 100&102 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-5783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144568320 | Rees Medical Services, LLC | Physical Medicine & Rehabilitation | 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503-2638 | 2013-01-23 |
| 1013200021 | Integrated Sports & Spine LLC | Physical Medicine & Rehabilitation | 380 Empire Rd Ste 120, Lafayette, CO 80026-2677 | 2011-05-24 |
| 1881953388 | Benjamin Joseph Baronne | Physical Medicine & Rehabilitation | 108 Rue Louis Xiv, Lafayette, LA 70508-6229 | 2012-05-04 |
| 1144538455 | Carolyn Y. Smith | Physical Medicine & Rehabilitation | 850 N Pierce St, Suite C, Lafayette, LA 70501-2848 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736343 | David S Vaughan | Physical Medicine & Rehabilitation | 3926 Barron St Ste C210, Metairie, LA 70002-5798 | 2020-07-02 |
| 1093236283 | Spine Management Group, LLC | Physical Medicine & Rehabilitation | 4600 S Claiborne Ave Ste 100, New Orleans, LA 70125-5010 | 2017-06-28 |
| 1467808519 | Healthspere Management Group | Physical Medicine & Rehabilitation | 872 Behrman Hwy, Gretna, LA 70056-4546 | 2016-05-09 |
| 1962636597 | Bayou Physical Medicine, Inc. | Physical Medicine & Rehabilitation | 12038 Lake Sherwood Ave N, Baton Rouge, LA 70816-4341 | 2009-05-11 |
| 1386807444 | Axcess Medical Clinic, Inc | Physical Medicine & Rehabilitation | 524 Elmwood Park Blvd, Suite 100, Harahan, LA 70123-3339 | 2008-07-08 |
| 1124298344 | Satvik Bhargav Munshi | Physical Medicine & Rehabilitation | 3820 Lapalco Blvd, Harvey, LA 70058 | 2008-03-04 |
| 1417167750 | Markus Vattakattil John | Physical Medicine & Rehabilitation | 4021 We Heck Ct, Building M-1, Baton Rouge, LA 70816-0416 | 2007-05-23 |
| 1437263522 | Omni Pain Management, LLC | Physical Medicine & Rehabilitation | 2701 David Dr, Suite A, Metairie, LA 70003-4511 | 2006-08-18 |
| 1558475806 | Stat Care Pain Management, LLC | Physical Medicine & Rehabilitation | 807 Stubb St., Suite 1, Monroe, LA 71201 | 2006-08-17 |
| 1811900459 | Omni Paim Management Plus, LLC | Physical Medicine & Rehabilitation | 700 Gause Blvd Ste 101, Slidell, LA 70458-2852 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.