MR. RYAN GREGORY PHILLIPS (NPI# 1336655455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336655455 |
| Entity Type | Individual |
| Full Name | MR. RYAN GREGORY PHILLIPS |
| Practice Address |
7800 Sheridan St Pembroke Pines FL 33024-2536 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9548838014 |
| Mailing Telephone | 9542765685 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9350866 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9350866 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL BOARD OF NURSING | ARNP9350866 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250962 | Ryan Dale Phillips | Counselor | 12250 Greenwell Springs Rd, Baton Rouge, LA 70814-6335 | 2016-04-15 |
| 1295763282 | Ryan P Phillips | Counselor | 420 E Park Ave Ste 100, Greenville, SC 29601-2237 | 2006-06-29 |
| 1508218686 | Ryan Phillips | Optometrist | 103 S East Ave, Kermit, TX 79745-3606 | 2016-07-12 |
| 1720460280 | Ryan K Phillips | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., Wbamc, Attn: Gme, El Paso, TX 79920-5001 | 2015-06-22 |
| 1932588829 | Ryan Phillips | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2015-05-25 |
| 1184011348 | Ryan Matthew Phillips | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-24 |
| 1356771927 | Ryan Phillips | Dentist | 102 Bryant St, Saint George, SC 29477-2160 | 2013-11-19 |
| 1891056271 | Ryan M Phillips | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2012-06-01 |
| 1851620884 | Ryan Cory Phillips | Pharmacist | 7707 Se 27th St, Mercer Island, WA 98040-2844 | 2009-12-22 |
| 1497919849 | Ryan Michael Phillips | Emergency Medicine | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2008-07-15 |
| Street Address |
7800 SHERIDAN ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337026 | Dexter C Sereda | Surgery | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2005-09-27 |
| 1477171932 | Bindu Koshy | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2020-07-10 |
| 1093355190 | Ponnila Srinivasan | Registered Nurse | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2020-01-07 |
| 1205351244 | Shoji Aji | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-08-10 |
| 1902331127 | Guardian Hospitalist, LLC | Hospitalist | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-04-25 |
| 1619417227 | Jessica Fugitt | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-03-01 |
| 1386006385 | Kristen Selema | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2016-03-28 |
| 1811362114 | Alin Buleu | Pharmacist | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2015-12-11 |
| 1649676313 | Haven Holistic Center, LLC | Substance Abuse Rehabilitation Facility | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2014-11-07 |
| 1609271352 | Paul Sojo-trujillo | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024 | 2014-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264246 | Nafeeza Alli | Nurse Practitioner | 9760 Sw 11th St, Pembroke Pines, FL 33025-3650 | 2020-10-30 |
| 1043810146 | Tiffany Marie Hill | Nurse Practitioner | 11901 Nw 11th St, Pembroke Pines, FL 33026-4362 | 2020-10-28 |
| 1053918763 | Rebecca Lynn Flayman | Nurse Practitioner | 355 Sw 121st Ave, Pembroke Pines, FL 33025-5910 | 2020-10-06 |
| 1326645151 | Reginale Robin | Nurse Practitioner | 440 Sw 181st Way, Pembroke Pines, FL 33029-4337 | 2020-10-05 |
| 1215544671 | Anilu Macedo | Nurse Practitioner | 835 Nw 135th Ter, Pembroke Pines, FL 33028-3170 | 2020-09-29 |
| 1649883323 | Shannon Ginell Richards | Nurse Practitioner | 11896 Sw 16th St, Pembroke Pines, FL 33025-3796 | 2020-08-24 |
| 1356953194 | Mayra Alejandra Cesaire | Nurse Practitioner | 8460 Nw 7th St, Pembroke Pines, FL 33024-6638 | 2020-08-22 |
| 1669082137 | Geisy Roca | Nurse Practitioner | 101 Sw 65th Way, Pembroke Pines, FL 33023-1254 | 2020-08-08 |
| 1235753971 | Dyanna Aguilar | Nurse Practitioner | 19103 Nw 12th Ct, Pembroke Pines, FL 33029-2960 | 2020-05-28 |
| 1023637709 | Emmanuella Cenophat | Nurse Practitioner | 16173 Sw 9th St, Pembroke Pines, FL 33027-5105 | 2020-04-13 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on MR. RYAN GREGORY PHILLIPS.
| 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.