Active NPI
Coby J Phillips, P.A.
- Surgical Physician Assistant
- Austin, TX
National Provider Identifier
1184631459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA03814
- Practice address
- 1010 W 40TH St
Austin, TX 78756-4010 - Phone
- (512) 459-8753
- Fax
- (512) 483-6807
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03814 | TX | |
| Surgical Physician Assistant | 363AS0400X | PA03814 | TX | Primary |
Addresses
Primary practice location
1010 W 40TH St
Austin, TX 78756-4010
Mailing address
1010 W 40TH St
Austin, TX 78756-4010
Phone (512) 459-8753
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N8259 | Other | TX | BCBS OF TEXAS |
| 185754201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03814 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1184631459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W 40TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564010",
"telephone_number": "512-459-8753",
"fax_number": "512-483-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W 40TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564010",
"telephone_number": "512-459-8753",
"fax_number": "512-483-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "COBY",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03814",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA03814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8N8259",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185754201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.