Active NPIIndividual provider

Michael Phillips, PA

Physician Assistant in South Burlington, Vermont

NPI Number1417379033
Practice location
1200 Williston RD, South Burlington, VT 05403-5720
Fax
—
Last updated
October 22, 2026

Michael Phillips is a Physician Assistant based in South Burlington, VT. Michael Phillips practices in South Burlington, VT and has the professional credentials of PA. The NPI Number for Michael Phillips is 1417379033 and holds a License No. 055.0031515 (VT). The current practice location address for Michael Phillips is 1200 Williston RD, South Burlington, VT 05403-5720 and can be reached out via phone at 802-448-8505.

Provider Profile Details

NPI Number
1417379033
Provider Name
Michael Phillips
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1200 Williston RD, South Burlington, VT 05403-5720
Phone Number
802-448-8505
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2014
Last Update Date
October 22, 2026
Certification Date
October 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Williston RD
South Burlington, VT 05403-5720
State
Vermont
Zip
05403-5720
Phone Number
802-448-8505
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
5 Alumni Dr
Exeter, NH 03833-2128
City
Exeter
State
NH
Zip
03833-2128
Phone Number
603-778-7311

License Information

License Number (1)
055.0031515
License State (1)
VT
Taxonomy (1)
Physician Assistant · 363A00000X
License State (2)
NH
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Phillips, PA?

The NPI number of Michael Phillips, PA is 1417379033. It was assigned on January 16, 2014 and is currently active in the NPPES registry.

What is the specialty of Michael Phillips, PA?

Michael Phillips, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031515.

Where does Michael Phillips, PA practice?

The practice location is 1200 Williston RD, South Burlington, VT 05403-5720. The office can be reached at 802-448-8505 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417379033 directly on the NPPES registry website.

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