Active NPI
Lin My Phan, PA-C
- Physician Assistant
- Tampa, FL
National Provider Identifier
1366260002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5 Tampa General Cir Ste 200
Tampa, FL 33606-3578 - Phone
- (813) 250-9101
- Fax
- (813) 844-4952
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5 Tampa General Cir Ste 200
Tampa, FL 33606-3578
Mailing address
5 Tampa General Cir Ste 200
Tampa, FL 33606-3578
Phone (813) 250-9101
Other practice location 1
162 Hillside Dr
South Windsor, CT 06074-1306
Phone (860) 944-5680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
543 N Main St
Suite a
Manchester, CT 06042-1973
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Rheumatology Physician
- South Windsor, CT
- NPI 1720534811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1366260002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TAMPA GENERAL CIR STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063578",
"telephone_number": "813-250-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TAMPA GENERAL CIR STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063578",
"telephone_number": "813-250-9101",
"fax_number": "813-844-4952"
}
],
"practiceLocations": [
{
"address_1": "162 Hillside Dr",
"address_purpose": "LOCATION",
"city": "South Windsor",
"state": "CT",
"postal_code": "060741306",
"country_code": "US",
"telephone_number": "860-944-5680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "LIN",
"middle_name": "MY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-01",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.