# PHILIP B SEXTRO

> 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:** 1851394738
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 135 | NE | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 213E00000X | NE | — |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 08/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0152470001 | DMERC CIGNA | NE |
| 01 | — | 02549 | BLUE CROSS BLUE SHIELD | NE |
| 01 | — | 280175 | MEDICARE | NE |
| 01 | — | 470624949 | CHAMPUS | NE |
| 05 | — | 47062497913 | — | NE |
| 01 | — | 480021804 | RAILROAD MEDICARE | NE |