ETHAN M. PHILPOTT M.D. – NPI #1619062106
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

ETHAN PHILPOTT is a surgeon located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1619062106 to ETHAN PHILPOTT on October 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 7 years ago on Feb 19, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETHAN PHILPOTT below.

NPI Profile for
ETHAN M. PHILPOTT

NPI Number
1619062106
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETHAN M. PHILPOTT
Credentials
M.D.
Primary location
2255 N. SCOTTSDALE ROAD
SCOTTSDALE, AZ 85257
Phone: (480) 464-8000 Fax: (480) 990-2556
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for ETHAN PHILPOTT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGA MEDICAL LICENSEGA074755
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
IL 036127162

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.