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

Phillip O Tigert, PAC

Individual provider Physician Assistant · NPI 1689670267

Phillip O Tigert, PAC is a Physician Assistant in Douglas, Wyoming. Graduated from Sanford School of Medicine of University of South Dakota in 1996, 30 years ago. Practices with Memorial Hospital of Converse County, a 80-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
30
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
SD
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

111 S 5th St
Douglas, WY 82633-2434
Phone: (307) 358-7300
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0364 (SD)

Record details

NPI number1689670267
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESDecember 19, 2016
Mailing address111 S 5th St, Douglas, WY 82633-2434

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 1996 (30 years in practice)
Group practice Memorial Hospital Of Converse County — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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