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

Philip Fenn

Individual provider Physician Assistant · NPI 1740875988

Philip Fenn is a Physician Assistant in Gilbert, Arizona. Qualified in 2021, 5 years ago. Practices with Cobre Valley Emergency Services, LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4049 E Williams Field Rd Ste 101
Gilbert, AZ 85295-3217
Phone: (480) 597-9497
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8915 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1740875988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022
Mailing address19924 E Via De Arboles, Queen Creek, AZ 85142-5028

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cobre Valley Emergency Services, Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gilbert