Stephanie M. Philipp, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 04390 Issued in TX

Practice address

8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900

Phone

(210) 614-0180

Fax

(210) 614-1722

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• My Urgent Clinic LLC

  • Urgent Care Clinic/Center
  • Boerne, TX
  • NPI 1083038798
  Medicare reassignment
• Greater San Antonio Emergency Physicians, PA

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1134184831
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1881662757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MALLARD DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780064502",
            "telephone_number": "830-537-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-614-0180",
            "fax_number": "210-614-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPP",
        "first_name": "STEPHANIE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 04390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip G. Onghai, M.D., P.a
• Grace Philip, M.D.
• Roshni Ann Philip, CRNA
• Shiney Rinu Philip, ACAGNP
• Vinu Joe Philip, MD
• Ragi Philips, MD
• Phillip R Craven Jr., M.D., P.a.
• Alan Dean Phillips, MA., LMFTA
• Alexa Gabrielle Phillips, LPC-A
• Alyssia Cecilia Phillips

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.