NPI 1093457186

Ellex Anthony Phillips, MD

Practitioner Student in an Organized Health Care Education/Training Program Lafayette, IN

Practice location

Address: 5177 McCarty Ln, Lafayette, IN 47905-8764
Phone: (765) 448-8000
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01096270A (IN)

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Registry record

NPI: 1093457186
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2022
Record last updated: 7 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.