IndividualActive
Jason Phillips, M.D.
NPI 1639386303 · Sports Medicine (Orthopaedic Surgery) Physician · Pottsville, PA
Provider details
- NPI number
- 1639386303
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD432171 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
48 Tunnel Rd
Suite 203
Pottsville, PA 17901-3875
Phone: (570) 624-4777
Fax: (570) 624-4778
Approximate (ZIP-level) locationGet directions
Mailing address
48 Tunnel Rd
Pottsville, PA 17901-3875
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2014-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.