Active NPI
Phillip C. Phan, M.D.
- Pain Medicine (Anesthesiology) Physician
- Houston, TX
National Provider Identifier
1942399548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- N2242
- Practice address
- 5445 La Branch St Ste 100
Houston, TX 77004-6835 - Phone
- (713) 973-7246
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | N2242 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | N2242 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | N2242 | TX | Primary |
Addresses
Primary practice location
5445 La Branch St Ste 100
Houston, TX 77004-6835
Mailing address
5445 La Branch St Ste 100
Houston, TX 77004-6835
Phone (713) 973-7246
Other practice location 1
7700 Main St
Suite 400
Houston, TX 77030-4456
Phone (832) 553-1336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179470307 | Medicaid | TX |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1194125690
-
dba Baylor Premier Anesthesiology Associates
- Anesthesiology Physician
- Houston, TX
- NPI 1043493794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942399548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 LA BRANCH ST STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046835",
"telephone_number": "713-973-7246",
"fax_number": "832-553-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 LA BRANCH ST STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046835",
"telephone_number": "713-973-7246"
}
],
"practiceLocations": [
{
"address_1": "7700 Main St",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304456",
"country_code": "US",
"telephone_number": "832-553-1336",
"fax_number": "832-553-1337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "PHILLIP",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "N2242",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "N2242",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "N2242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179470307",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.