Alan David Philips, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2006-0029 Issued in NM

Practice address

1801 Redrock Dr
Gallup, NM 87301-5655

Phone

(505) 863-7993

Fax

(505) 863-9406

NPI assigned

Aug 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Desert Nephrology Associates PLLCGroup PAC ID 5092877696, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rehoboth McKinley Christian Health Care Services Hospital, Gallup, NM, CCN 321313

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• High Desert Nephrology Associates PLLC

  dba High Desert Nephrology Assoc

  • Nephrology Physician
  • Gallup, NM
  • NPI 1144482860
  Medicare reassignment Care Compare group
• Rehoboth McKinley Christian Health Care Services, Inc

  • Critical Access Hospital
  • Gallup, NM
  • NPI 1689784506
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rehoboth McKinley Christian Health Care Services, Inc

  • Rural Health Clinic/Center
  • Gallup, NM
  • NPI 1689779860

  Hospital

  Care Compare affiliation
• Rehoboth McKinley Christian Health Care Services, Inc.

  dba RMCHCS Hospital

  • Critical Access Hospital
  • Gallup, NM
  • NPI 1720084999
  Care Compare affiliation

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1982718508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015655",
            "telephone_number": "505-863-7993",
            "fax_number": "505-863-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015655",
            "telephone_number": "505-863-7993",
            "fax_number": "505-863-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2006-0029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgen Petersen, RN
• Grace Peterson
• Scott S Peterson, RN
• Daniel Petrosky, MD
• Jennifer Huynh Pham, PHARMD
• Cara L. Phillips, RN
• Catherine J Phillips, RN
• Curtis Phillips
• Kristen Marie Phoenix, RN
• Allison K Pianka, RN

• Physician Assistant in Gallup, NM
• Providers in Gallup, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.

Verify at the official NPI Registry.