Tamara J Phillippi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50001263 Issued in OH

Practice address

260 N Detroit St Ste 2
Xenia, OH 45385-2268

Phone

(937) 231-8194

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scott B Phillippi DDS LLC

  • Dental Clinic/Center
  • Huber Heights, OH
  • NPI 1649666355
  NPD
• Wright State Physicians Inc

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1114920329
  NPD (past)
• Wright State Physicians Inc

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
  • NPI 1649447582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1003872664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N DETROIT ST STE 2",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852268",
            "telephone_number": "937-231-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N DETROIT ST STE 2",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852268",
            "telephone_number": "937-231-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPPI",
        "first_name": "TAMARA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022577",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina J Peterson, MS, RD, LD
• Anna Petroff, PHARMD
• Jeanine Marie Phares, ISP
• Carol Ann Phibbs
• Scott Bradford Phillippi, D.D.S.
• Amanda Phillips
• Barbara Phillips, RN
• Janine Diane Phillips, RN
• Mackenzie Alexandra Piatka
• Christina Pillow

• Physician Assistant in Xenia, OH
• Providers in Xenia, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.