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PHILLIP A MEDINA MD INC PS
NPI 1629194550
Orthopaedic Surgery - Sports Medicine in Renton, WA

Active since March 22, 2007
4361 TALBOT RD S STE 102, RENTON, WA 98055(425) 226-1180(425) 235-0695 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillip A Medina Md Inc Ps NPPES

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

PHILLIP A MEDINA MD INC PS (NPI 1629194550) is a healthcare organization registered as a sports medicine in Renton, Washington and active in the NPI registry since March 2007. The organization lists Phillip A Medina, President, as its authorized official.

NPPES Registry Identity

NPI1629194550
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NamePHILLIP A MEDINA MD INC PS
Location Address4361 TALBOT RD S STE 102Renton, WA 98055-6226
Mailing Address4361 Talbot Rd S Ste 102Renton, WA 98055-6226 · (425) 226-1180 · Fax (425) 235-0695
Phone(425) 226-1180
Fax(425) 235-0695
Organization SubpartNo
Authorized OfficialPhillip A MedinaPresident · (425) 226-1180
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629194550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WA · MD00028329
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
4361 TALBOT RD S STE 102, Renton, WA 98055
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

STEVEN L SUMMERFIELD MD INC PS
Orthopaedic Surgery (Hand Surgery)
4361 TALBOT RD S STE 102
RENTON, WA 98055
King County (425) 226-1180
DAVID P RUOFF MD INC PS
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4361 TALBOT RD S STE 102
RENTON, WA 98055
King County (425) 226-1180

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 A Medina MD Inc Ps's NPI number?

The NPI number for Phillip A Medina MD Inc Ps is 1629194550. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Phillip A Medina MD Inc Ps located?

Phillip A Medina MD Inc Ps is located at 4361 Talbot Rd S Ste 102, Renton, WA 98055. The listed phone number is (425) 226-1180.

What is Phillip A Medina MD Inc Ps's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Phillip A Medina MD Inc Ps was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.