Llewellyn Phillips II, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00013579 Issued in WA

Practice address

4509 Talbot Rd S
Suite 200
Renton, WA 98055-6294

Phone

(425) 228-4520

Fax

(425) 226-0283

NPI assigned

Aug 29, 2006

Last updated

Oct 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Llewellyn Phillips II M.D., Inc., P.S.

  • Dermatology Physician
  • Renton, WA
  • NPI 1710238449
  Authorized official Same address or phone

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1316056070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 TALBOT RD S",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556294",
            "telephone_number": "425-228-4520",
            "fax_number": "425-226-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 TALBOT RD S",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556294",
            "telephone_number": "425-228-4520",
            "fax_number": "425-226-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LLEWELLYN",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00013579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip N. Hodge, DDS, PS
• Phillip a Medina MD Inc PS
• Carrie Phillips, RN
• Christopher Burton Phillips, M.D.
• David Phillips, LMP
• Patricia L Phillips, LMP
• Anh Pho
• Phong N Bui, DDS, PLLC
• Jonathan David Phung, PHARM D
• Bren Piamonte, PTA

• Dermatology Physician in Renton, WA
• Providers in Renton, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.