Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON S PHILLIPS, PA-C
ActiveJASON S PHILLIPS, PA-C is a Surgical Physician Assistant healthcare provider located in MOSCOW, Idaho. NPI 1992878946 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MOSCOW, ID
Registration Details
- NPI Number
- 1992878946
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.776863326996 yrs)
- Last Updated
- Feb 27, 2026
- License
-
PA-1735 (ID)
Practice Information
- Address
-
2301 W A STMOSCOW, ID, 838434038Browse ID providers · Browse ZIP 83843
- Phone
- 2088831135
- Fax
- 2088920174
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.