MR. PHILLIP E LEWELLEN PA
NPI 1134110356
Physician Assistant - Surgical in Ft Lauderdale, FL

Active since November 04, 2005
1995 E OAKLAND PARK BLVD, FT LAUDERDALE, FL 33306(954) 791-6146(954) 337-2733 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Phillip E Lewellen Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PHILLIP E LEWELLEN PA (NPI 1134110356) is an individual surgical provider in Ft Lauderdale, Florida, licensed in Tennessee (551) and active in the NPI registry since November 2005. He maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1134110356
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. PHILLIP E LEWELLENCredential: PA
Location Address1995 E OAKLAND PARK BLVDFt Lauderdale, FL 33306-1147
Mailing Address2011 Murphy Ave, Suite 408Nashville, TN 37203-2023 · (615) 327-1515 · Fax (615) 352-1428
Fax(954) 337-2733
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateMarch 13, 2019
NPI 1134110356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TN · 551
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 551 (TN)
1995 E OAKLAND PARK BLVD, Ft Lauderdale, FL 33306

Secondary Practice Location 1

Location 12011 Murphy Ave, Suite 408Nashville, TN 37203-2023 · Phone (615) 327-1515 · Fax (615) 352-1428

Other Identifiers 2

Other4071394TN · Bcbs
Medicaid3666998TN

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1995 E OAKLAND PARK BLVD, SUITE #115
FORT LAUDERDALE, FL 33306
Specialist/Technologist, Other (Surgical Assistant)
1995 E OAKLAND PARK BLVD
FORT LAUDERDALE, FL 33306
Specialist/Technologist, Other (Surgical Assistant)
1995 E OAKLAND PARK BLVD, SUITE 250
FORT LAUDERDALE, FL 33306
Physician Assistant
1995 E OAKLAND PARK BLVD, SUITE 250
FORT LAUDERDALE, FL 33306
Registered Nurse (Registered Nurse First Assistant)
1995 E OAKLAND PARK BLVD
FORT LAUDERDALE, FL 33306
Physician Assistant (Surgical)
1995 E OAKLAND PARK BLVD, SUITE 250
FT LAUDERDALE, FL 33306
Specialist/Technologist, Other (Surgical Assistant)
1995 E OAKLAND PARK BLVD, SUITE 250
FORT LAUDERDALE, FL 33306
Physician Assistant
1995 E OAKLAND PARK BLVD, STE 310
FORT LAUDERDALE, FL 33306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134110356, enumerated as an "individual" on November 04, 2005.

The provider is located at 1995 E OAKLAND PARK BLVD FT LAUDERDALE, FL 33306 and the phone number is (954) 791-6146.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.