Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Phyllis Eason, MD

Individual provider Psychiatry Physician · NPI 1174596746

Phyllis Eason, MD practises Psychiatry in Fargo, North Dakota. Qualified in 1990, 36 years ago. Practices with SSM Regional Health Services, a 166-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Georgia, Missouri and North Dakota and 2 more.

Years since qualifying
36
Licensed in
CA, GA, MO, ND, WA, WI
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 4th St S
Fargo, ND 58103-1929
Phone: (701) 234-3100
Fax: (701) 234-3120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2016 S Main St, Maryville, MO 64468-2655 — (660) 562-2600
  • 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 — (360) 514-3191

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence PT12912 (ND)
Psychiatry Physician Taxonomy 2084P0800X · Licence 043926 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 71925 (WI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2015042689 (MO)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD61499166 (WA)
Psychiatry Physician Taxonomy 2084P0800X · Licence C170232 (CA)

Record details

NPI number1174596746
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Ssm Regional Health Services — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Ssm Health St. Mary'S Hospital - Jefferson City Hospital · Jefferson City, MO

Colleagues at SSM Regional Health Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 166 clinicians in the practice; 12 are shown here.

Other providers in Fargo