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

Mr. Phillip Oliveira, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1316284318

Mr. Phillip Oliveira, PHYSICIANASSISTANT is a Physician Assistant in Detroit, Michigan. Qualified in 2012, 14 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and North Dakota.

Years since qualifying
14
Licensed in
MI, ND
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2695
Fax: (313) 916-2687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 933 Medical Cir, Myrtle Beach, SC 29572-4116 — (843) 497-7772

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006969 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence PAC1228 (ND)

Record details

NPI number1316284318
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 10, 2013
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Detroit