Jason D Philippe, MD
Family Medicine in Saint Petersburg, FL. Individual provider (NPI-1).
NPI number1982165775
StatusActive
Last updated in NPPESJul 27, 2022
Details
- NPI
- 1982165775
- Entity type
- Individual (NPI-1)
- Name
- Jason D Philippe
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2019
- Certification date
- Jul 27, 2022
- Last updated
- Jul 27, 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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME149618 | FL | Yes |
Practice location
6450 38th Ave N Ste 300Saint Petersburg, FL 33710-1649
Phone 727-655-9850 · Fax 276-559-8517
Mailing address
2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342
Phone 877-856-3774 · Fax 239-599-2612
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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.
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