Active NPI
Phillip Andrew Killian, PA-C
- Physician Assistant
- Hickory, NC
National Provider Identifier
1942248398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1017994
- Practice address
- 810 Fairgrove Church Rd S.E.
Catawba Valley Medical Center
Hickory, NC 28602 - Phone
- (828) 326-3230
- Fax
- (828) 326-2855
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- 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 | 0001-01794 | NC | |
| Physician Assistant | 363A00000X | 1017994 | NC | Primary |
Addresses
Primary practice location
810 Fairgrove Church Rd S.E.
Catawba Valley Medical Center
Hickory, NC 28602
Mailing address
810 Fairgrove Church Rd S.E.
Catawba Valley Medical Center
Hickory, NC 28602
Phone (828) 326-3230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D8992 | Other | MEDCOST |
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 |
|---|---|---|---|
| 0001-01794 | NC | MD | Physician Assistant |
| 1017994 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Emergency Physicians PA | Past | Accepting new patients | |
| Sterling Emergency Services of the Southeast, Inc | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Hickory, NC
- NPI 1881641819
-
- Emergency Medicine Physician
- Salisbury, NC
- NPI 1770541245
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1942248398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD S.E.",
"address_2": "CATAWBA VALLEY MEDICAL CENTER",
"city": "HICKORY",
"state": "NC",
"postal_code": "28602",
"telephone_number": "828-326-3230",
"fax_number": "828-326-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD S.E.",
"address_2": "CATAWBA VALLEY MEDICAL CENTER",
"city": "HICKORY",
"state": "NC",
"postal_code": "28602",
"telephone_number": "828-326-3230",
"fax_number": "828-326-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "PHILLIP",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0001-01794",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "1017994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D8992",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.