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

Mr. Phillip Louis Stange, PA

Individual provider Physician Assistant · NPI 1750317798

Mr. Phillip Louis Stange, PA is a Physician Assistant in Newport News, Virginia. Qualified in 2006, 20 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
20
Licensed in
TN, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11828 Canon Blvd Ste E
Newport News, VA 23606-2554
Phone: (757) 599-4922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Brookside Dr, Kingsport, TN 37660-4627 — (423) 857-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1692 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0110002323 (VA)

Record details

NPI number1750317798
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESDecember 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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