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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: November 08, 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
Phone(954) 791-6146
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
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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.

RAINA DIEDRICK PHYSICIAN ASSISTANT
Physician Assistant
1995 E OAKLAND PARK BLVD, STE 310
FORT LAUDERDALE, FL 33306
Broward County (954) 791-6146
ALEJANDRO LI CSA
Specialist/Technologist, Other (Surgical Assistant)
1995 E OAKLAND PARK BLVD
FORT LAUDERDALE, FL 33306
Broward County (954) 791-6146
TROY WALKER-PRENDERGAST PA-C
Physician Assistant
1995 E OAKLAND PARK BLVD, SUITE 310
FORT LAUDERDALE, FL 33306
Broward County (954) 791-6146
MR. LEONEL SEBASTIAN DE LA FLOR RN
Registered Nurse (Registered Nurse First Assistant)
1995 E OAKLAND PARK BLVD
FORT LAUDERDALE, FL 33306
Broward County (954) 791-6146
CHRISTOPHER ELLIS
Specialist/Technologist, Other (Surgical Assistant)
1995 E OAKLAND PARK BLVD
FT LAUDERDALE, FL 33306
Broward County (954) 791-6146
JORGE JARQUIN CSA
Specialist/Technologist, Other (Surgical Assistant)
1995 E OAKLAND PARK BLVD, SUITE 250
FORT LAUDERDALE, FL 33306
Broward County (954) 791-6146
ROGER J CANALES CSA
Specialist/Technologist, Other (Surgical Assistant)
1995 E OAKLAND PARK BLVD, SUITE 250
FORT LAUDERDALE, FL 33306
Broward County (954) 791-6146
MR. JOHN ANTHONY TORRES PA-C
Physician Assistant
1995 E OAKLAND PARK BLVD, SUITE 250
FORT LAUDERDALE, FL 33306
Broward County (954) 791-6146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Lewellen's NPI number?

The NPI number for Phillip Lewellen is 1134110356. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Phillip Lewellen located?

Phillip Lewellen practices at 1995 E Oakland Park Blvd, Ft Lauderdale, FL 33306. The listed phone number is (954) 791-6146.

What is Phillip Lewellen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Phillip Lewellen was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.