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PHILLIP VU PHAN MD
NPI 1639860992
Student in an Organized Health Care Education/Training Program in Lima, OH

Active since May 17, 2023PECOS Enrolled
730 W MARKET ST, LIMA, OH 45801(419) 226-9301 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 9, 2026, May 22, 2023, May 17, 2023 (3 updates tracked since 2023).

About Phillip Vu Phan Md NPPES

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

PHILLIP VU PHAN MD (NPI 1639860992) is an individual student in an organized health care education/training program in Lima, Ohio, licensed in Ohio (TRAINING) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639860992
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILLIP VU PHANCredential: MD
Location Address730 W MARKET STLima, OH 45801-4602
Mailing Address730 W Market StLima, OH 45801-4602
Phone(419) 226-9301
Sole ProprietorNo
Enumeration DateMay 17, 2023
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1639860992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OH · TRAINING
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
730 W MARKET ST, Lima, OH 45801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip Vu Phan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Other Providers at the Same Location NPPES 20

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

NADIA GHALLAB
Internal Medicine
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 226-4310
DR. NANCY RAMPE PHARMD, MHA
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 996-5593
DR. JEFF JUNIOR NERESTANT DPM
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Allen County (407) 202-0269
SHEZORE BHATTI DO
Student in an Organized Health Care Education/Training Program
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
TODD HIXSON CCP
Perfusionist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
NICOLE MARIE OUATTARA FNP-C
Nurse Practitioner
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
DR. MATTHEW T KUHN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 227-3361
KRISTA AMSTUTZ PHARM D
Pharmacist
730 W MARKET ST
LIMA, OH 45801
Allen County (419) 226-9025

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 Phan's NPI number?

The NPI number for Phillip Phan is 1639860992. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Phillip Phan located?

Phillip Phan practices at 730 W Market St, Lima, OH 45801. The listed phone number is (419) 226-9301.

What is Phillip Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phillip Phan enrolled in Medicare?

Yes. Phillip Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Phan was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.