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

Individual provider Physician Assistant · NPI 1841372273

Mr. Phillip Scott Gilliam, PA is a Physician Assistant in Independence, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
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

1509 W Truman Rd
Independence, MO 64050-3436
Phone: (816) 836-6901
Fax: (816) 836-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 54 Hospital Dr, Osage Beach, MO 65065-3050 — (573) 348-8000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2005017775 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 2005017775 (MO)

Record details

NPI number1841372273
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 8, 2019

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