Phillip Ervin

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP61094880 Issued in WA

Practice address

1959 NE Pacific St
Seattle, WA 98195-0001

Phone

(425) 598-4548

NPI assigned

Aug 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olympia Multi Specialty ClinicGroup PAC ID 4789571092, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Olympia Multi Specialty Clinic

  • Specialist
  • Olympia, WA
  • NPI 1356386783
  Medicare reassignment Care Compare group NPD
• Grays Harbor County Public Hospital District No 1

  • Critical Access Hospital
  • Elma, WA
  • NPI 1740211028
  Medicare reassignment NPD
• Tacoma Anesthesia Associates Inc PS

  • Anesthesiology Physician
  • Tacoma, WA
  • NPI 1447227814
  Medicare reassignment NPD
• Grays Harbor County Public Hospital District No 1

  • Rural Health Clinic/Center
  • Elma, WA
  • NPI 1083202907
  NPD
• Grays Harbor County Public Hospital District No. 1

  • Rural Health Clinic/Center
  • Elma, WA
  • NPI 1811025216
  NPD
• Center for Wellness and Pain Care of Las Vegas Inc

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1912387432
  NPD
• Center for Wellness and Pain Care of Las Vegas, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1659918498
  NPD
• Red Rock Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1235660002
  NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1467063891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 NW MULLRIDGE PL UNIT K208",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277541",
            "telephone_number": "210-313-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "425-598-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61094880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillip.ervin@my.uu.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Message",
            "address_1": "1959 NE Pacific St",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Hennessey Erstad, MD
• Sarah Ertsgaard, OT
• Lale Aslihan Ertuglu, MD
• Abbey Ervin
• Cynthia Herman Ervin, PH.D.
• Koloman Erway, LMT
• Sonni Erway
• Megan Erwin
• Kaeleene Elizabeth Escalante
• Sumitra Paul Escalante, M.D.

• Certified Registered Nurse Anesthetist in Seattle, WA
• Providers in Seattle, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.