MARK T PHILLIPS PA
NPI 1912920232
Physician Assistant in Manassas, VA

Q: What is Mark Phillips's NPI number?

The NPI number for Mark Phillips is 1912920232. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Mark Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Phillips was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 26, 2006

8700 SUDLEY ROAD, PRINCE WILLIAM HOSPITAL, MANASSAS, VA 20110(703) 369-8337(703) 369-8868 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark T Phillips Pa NPPES

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

MARK T PHILLIPS PA (NPI 1912920232) is an individual physician assistant in Manassas, Virginia, licensed in Virginia (0110001989) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912920232

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARK T PHILLIPSCredential: PA

Location Address8700 SUDLEY ROAD, PRINCE WILLIAM HOSPITALManassas, VA 20110

Mailing Address20010 Century Bloulevard, Suite 200Germantown, MD 20874-1106 · (240) 686-2300 · Fax (240) 686-2303

Phone(703) 369-8337

Fax(703) 369-8868

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateNovember 3, 2010

✔ NPI 1912920232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110001989

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8700 SUDLEY ROAD, Manassas, VA 20110

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Other Identifiers 2

Medicare UPINQ34921

Medicare ID-Type Unspecified006555E54VA

Other Providers at the Same Location NPPES 12

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

MR. MAUNG THAN MYINT MD

Anesthesiology

8700 SUDLEY ROAD
MANASSAS, VA 20110

Manassas City (703) 369-8190

FRANK L NUAR MD

Emergency Medicine