# MR. PHILIP W ZINGALE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356323067
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | CPA00014 | RI | Yes |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 01/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2156-4 | BLUE CROSS | RI |
| 01 | — | 407350 | BLUE CHIP | RI |
| 01 | — | 41D0695381 | CLIA | — |