Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phillip a Medina MD Inc Ps

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1629194550

Phillip a Medina MD Inc Ps is a Sports Medicine (Orthopaedic Surgery) Physician in Renton, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4361 Talbot Rd S Ste 102
Renton, WA 98055-6226
Phone: (425) 226-1180
Fax: (425) 235-0695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence MD00028329 (WA)

Record details

NPI number1629194550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Medina — President · (425) 226-1180
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4361 Talbot Rd S Ste 102, Renton, WA 98055-6226

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