Medical Information
Table of Contents
Provider Credentials
| Name | License State | License Number | NPI | Specialty | |
|---|---|---|---|---|---|
 |
Jason Phillips, M.D. | Alabama | MD.39368 | 1417120387 | Urology |
| Arizona | 59815 | ||||
| California | A129806 | ||||
| Delaware | C1-0023990 | ||||
| Florida | ME 143923 | ||||
| Georgia | 84959 | ||||
| Illinois | 036152041 | ||||
| Indiana | 01083553A | ||||
| Kansas | 04-43108 | ||||
| Kentucky | 53419 | ||||
| Louisiana | 323559 | ||||
| Maine | 283270 | ||||
| Michigan | 4301501451 | ||||
| Missouri | 202008342 | ||||
| Mississippi | 27466 | ||||
| North Carolina | 2020-00288 | ||||
| New Jersey | 25MA10773600 | ||||
| New York | 302713 | ||||
| Ohio | 35.13872 | ||||
| Oklahoma | 35465 | ||||
| Pennsylvania | MD470033 | ||||
| South Carolina | 83670 | ||||
| Tennessee | 60876 | ||||
| Texas | S7757 | ||||
| Utah | 11615165-1205 | ||||
| Virginia | 101258581 | ||||
| Wisconsin | 74457-20 | ||||
| West Virginia | 29613 | ||||
 |
Ed Henson, NP | Alaska | 171230 | 1700330842 | NP - Family Medicine |
| Arizona | 242351 | ||||
| Colorado | RDN.0104754-NP | ||||
| Connecticut | 9511 | ||||
| Delaware | LG-0011534 | ||||
| Florida | TPAN169 | ||||
| Idaho | 65993 | ||||
| Illinois | 277000245 | ||||
| Iowa | A161400 | ||||
| Maine | CNP201444 | ||||
| Michigan | 470436851 | ||||
| Missouri | 2020041287 | ||||
| Montana | APRN144882 | ||||
| Nevada | APRN0022229 | ||||
| New Jersey | 26NJ01110700 | ||||
| New York | 347051-01 | ||||
| North Dakota | R50110 | ||||
| Oregon | 202010809NP-PP | ||||
| South Dakota | CP001991 | ||||
| Texas | AP1019262 | ||||
| Utah | 11262035 | ||||
| Vermont | 101.0134691 | ||||
| Washington | AP60949942 | ||||
| Wisconsin | 10493 | ||||
| Wyoming | 43563 | ||||
 |
Elizabeth Hernandez, NP | Alaska | 162226 | 1790035921 | NP - Family Medicine |
| Arizona | 221040 | ||||
| Colorado | C-APN.0001192-C-NP | ||||
| Delaware | LJ0000356 | ||||
| Florida | APRN-9308421 | ||||
| Idaho | 59433 | ||||
| Illinois | 209.019638 | ||||
| Iowa | C153964 | ||||
| Kentucky | 3014247 | ||||
| Maine | CNP181198 | ||||
| Maryland | AC002570 | ||||
| Massachusetts | RN2329972 | ||||
| Michigan | 4704348916 | ||||
| Minnesota | 6062 | ||||
| Montana | NUR-APRN-LIC-158390 | ||||
| Nebraska | 112600 | ||||
| New Hampshire | 079057-23 | ||||
| New Mexico | 54128 | ||||
| Ohio | APRN-CNP.026310 | ||||
| Oregon | 201807311NP-PP | ||||
| Texas | AP139376 | ||||
| Utah | 11024407 | ||||
| Vermont | 101.0134479 | ||||
| Virginia | 24177050 | ||||
| Washington | AP60931942 | ||||
| Washington D.C. | RN1051425 | ||||
| West Virginia | 105132 | ||||
| Wyoming | 25325 | ||||
 |
Neifa Nayor, NP | Alaska | 172283 | 1991131247 | NP - Family Medicine |
| Arizona | 237656 | ||||
| California | 96013913 | ||||
| Colorado | C-APN-001637-C-NP | ||||
| Delaware | LG-0001451 | ||||
| Florida | APRN-9265969 | ||||
| Hawaii | APRN-3162-0 | ||||
| Illinois | 209021556 | ||||
| Indiana | 71009936A | ||||
| Iowa | A157198 | ||||
| Kentucky | 3015028 | ||||
| Maryland | AC-003108 | ||||
| Michigan | 4704368588 | ||||
| Montana | NUR-APRN-LIC-157328 | ||||
| Nebraska | 113439 | ||||
| Nevada | 822811 | ||||
| New York | 346910 | ||||
| Ohio | APRN.CNP.026508 | ||||
| Oklahoma | 201658 | ||||
| Rhode Island | APRN022278 | ||||
| South Dakota | CP001719 | ||||
| Texas | AP143969 | ||||
| Utah | 11575809-4405 | ||||
| Virginia | 24178524 | ||||
| Washington | AP51041985 | ||||
| West Virginia | 105149 | ||||
 |
Kate Cordisco, NP | Arizona | 251694 | 1003246851 | NP - Family Medicine |
| California | 95013921 | ||||
| Connecticut | 8222 | ||||
| Florida | APRN-11002595 | ||||
| Indiana | 71010960A | ||||
| Kansas | 53-79955-062 | ||||
| Kentucky | 3015138 | ||||
| Maine | CNP201373 | ||||
| Maryland | R242072 | ||||
| Massachusetts | RN2337966 | ||||
| Michigan | 4704367045 | ||||
| Nebraska | 112767 | ||||
| Nevada | 833090 | ||||
| New Jersey | 26NJ00994200 | ||||
| New York | 344004 | ||||
| North Carolina | 5012272 | ||||
| Ohio | APRN.CNP.024820 | ||||
| Oregon | 202111390NP-PP | ||||
| Pennsylvania | SP013420 | ||||
| Texas | AP1017272 | ||||
| Vermont | 101.0134611 | ||||
| Virginia | 24178901 | ||||
| Washington | AP61106898 | ||||
 |
Casey Hicks, NP | Alaska | 170200 | 1225573249 | NP - Family Medicine |
| California | 95011674 | ||||
| Colorado | C-RXN.0000451-C-NP | ||||
| Connecticut | 9117 | ||||
| Florida | APRN-9495452 | ||||
| Hawaii | APRN-2782 | ||||
| Maine | CNP201238 | ||||
| Maryland | AC002463 | ||||
| Minnesota | 8164 | ||||
| Montana | APRN-153610 | ||||
| Nebraska | 113422 | ||||
| North Dakota | 849844 | ||||
| Oregon | 201901740NP-PP | ||||
| South Dakota | 23195 | ||||
 |
Trace Owens, NP | California | 95014429 | 1730721820 | NP - Family Medicine |
| Colorado | C-APN.0003008-C-NP | ||||
| Florida | 11005293 | ||||
| Idaho | 69422 | ||||
| Kansas | 53-80352-102 | ||||
| Kentucky | 3016366 | ||||
| Maryland | AC003837 | ||||
| New Hampshire | 085863-23 | ||||
| New Mexico | 63942 | ||||
| North Dakota | R51282 | ||||
| Texas | AP143433 | ||||
| Virginia | 0024182123 | ||||
| Washington | AP61202721 | ||||
 |
Leah Brown, NP | Arizona | 256460 | NP - Family Medicine | |
| California | 19029 | ||||
| Colorado | APN.0996753-NP | ||||
| Florida | 11012462 | ||||
| Hawaii | 3295-0 | ||||
| Missouri | 2021021666 | ||||
| Washington | AP61172120 | ||||
Pharmacy Partners
CortexRX: 7301 GIRARD AVE #100, LA JOLLA, CA 92037 | 858. 246. 6918 | CORTEXRX.COM
MedVantx: 2503 East 54th St N, Sioux Falls, SD 57104 | 605.978.3900 | https://www.medvantx.com | [email protected]
Beauty Empower Rx (BERx): 3545 Chain Bridge Rd, Ste 102, Fairfax, VA 22030 | 1.833.550.5695 | [email protected]
Medical Complaint Information
CALIFORNIA
NOTICE TO CONSUMERS
Medical doctors are licensed and regulated by the Medical Board of California
(800) 633-2322
www.mbc.ca.gov
Complaints may be filed online at http://www.mbc.ca.gov/Breeze/Complaints.aspx or submitted in hard copy form. A Consumer Complaint Form, including instructions for completing it may be found at http://www.mbc.ca.gov/Consumers/Complaints/Submit_By_Mail.aspx. A hard copy Consumer Complaint Form should be submitted to:
Medical Board of California
Central Complaint Unit
2005 Evergreen Street, Suite 1200
Sacramento, CA 95815
The Central Complaint Unit of the Medical Board of California is found by calling 1-800-633-2322 or by calling 916-263-2382.
INDIANA
To file a consumer compliant you can request a complaint form by calling 1-800-382-5516 or 317-232-6330 and file the form with the Attorney General’s Office or complete the complaint online. The on-line complaint form is found at https://indianaattorneygeneral.secure.force.com/ConsumerComplaintForm.
RHODE ISLAND
Department of Health
Complaint Unit
401-222-5200
TEXAS
Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address:
Texas Medical Board
Attention: Investigations
333 Guadalupe, Tower 3, Suite 610
P.O. Box 2018, MC-263
Austin, Texas 78768-2018
Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353, For more information, please visit our website at www.tmb.state.tx.us.
—-
Las quejas sobre médicos, asi como sobre otros profesionales acreditados e inscritos del Consejo Médico de Tejas, incluyendo asistentes de médicos, practicantes de acupuntura y asistentes de cirugia, se pueden presentar en la siguiente dirección para ser investigadas:
Texas Medical Board
Attention: Investigations
333 Guadalupe, Tower 3, Suite 610
P.O. Box 2018, MC-263
Austin, Texas 78768-2018
Si necesita ayuda para presentar una queja, llame al: 1-800-201-9353, Para obtener más información, visite nuestro sitio web en www.tmb.state.tx.us.
VERMONT
The Vermont Board of Medical Practice investigates complaints of unprofessional conduct. If you have a concern about a medical professional, you may contact the Board as indicated below. For more information see the Board’s website here: http://www.healthvermont.gov/health-professionals-systems/board-medical-practice/file-complaint.
VERMONT DEPARTMENT OF HEALTH
BOARD OF MEDICAL PRACTICE
108 Cherry Street, PO Box 70
Burlington, VT 05402-0070
802-657-4220
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