PHILLIP A MEDINA MD
NPI 1720040371
Orthopaedic Surgery - Sports Medicine in Renton, WA

Q: What is Phillip Medina's NPI number?

The NPI number for Phillip Medina is 1720040371. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Phillip Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phillip Medina was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 06, 2006

4361 TALBOT ROAD S, #102, RENTON, WA 98055(425) 226-1180(425) 235-0695 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip A Medina Md NPPES

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

PHILLIP A MEDINA MD (NPI 1720040371) is an individual sports medicine provider in Renton, Washington, licensed in Washington (MD00028329) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1720040371

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NamePHILLIP A MEDINACredential: MD

Location Address4361 TALBOT ROAD S, #102Renton, WA 98055

Mailing Address4361 Talbot Road S, #102Renton, WA 98055 · (425) 226-1180 · Fax (425) 235-0695

Phone(425) 226-1180

Fax(425) 235-0695

Sole ProprietorYes

Enumeration DateApril 6, 2006

Last NPPES UpdateOctober 17, 2013

✔ NPI 1720040371 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 ROAD S, Renton, WA 98055

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Other Identifiers 2

Medicare ID-Type UnspecifiedG000108467

Medicare UPINE74965

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 Medina's NPI number?

The NPI number for Phillip Medina is 1720040371. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Phillip Medina located?

Phillip Medina practices at 4361 Talbot Road S #102, Renton, WA 98055. The listed phone number is (425) 226-1180.

What is Phillip Medina'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 Medina was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.