Dr. Amanda Ruth Phillips, MD
Family Medicine, Sports Medicine in Lafayette, LA. Individual provider (NPI-1).
Details
- NPI
- 1962474064
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Ruth Phillips
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 2, 2006
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 025853 | LA | Yes |
Practice location
2390 W Congress StLafayette, LA 70506-4205
Phone 337-261-6010 · Fax 337-261-6153
Mailing address
2390 W Congress StLafayette, LA 70506-4205
Phone 337-261-6010 · Fax 337-261-6153
Other practice locations
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Sports Medicine (Family Medicine) Physician providers in Lafayette, LA
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- The Bond GroupNPI 1700065323
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All 8 Sports Medicine (Family Medicine) Physician providers in Lafayette · All 7,488 providers in Lafayette
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