Michelle M Philp, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003716 Issued in MI

Practice address

8896 Commerce Rd Ste 5
Commerce Township, MI 48382-4494

Phone

(248) 360-9241

Fax

(248) 360-0830

NPI assigned

Feb 3, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edgewood Center Pediatrics PC

  • Pediatrics Physician
  • Commerce Township, MI
  • NPI 1295831550
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1992037717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD STE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824494",
            "telephone_number": "248-360-9241",
            "fax_number": "248-360-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD STE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824494",
            "telephone_number": "248-360-9241",
            "fax_number": "248-360-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILP",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Petronella, DPM
• Noura Petrous
• Luba Petrusha, MD
• Judith Pfaff, LPC
• Danh Tan Phan, DDS
• Brittany Margaret Pierson, RN
• Pine Cove Medical Group, PLC
• Plymouth Physical Therapy Specialists Limited Partnership
• Shelly L Porter, P.T.
• Sonal Prabhakar, DPT

• Physician Assistant in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.