Individual Healthcare Provider
Philip Detrana, PA
Provider's NPPES record last updated: August 14, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063255586
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Charlottesville, Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:43 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X Internal Medicine
Hematology & Oncology
Allopathic & Osteopathic Physicians
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Taxonomy code 207RH0003X
Provider-Reported License Information
- Physician Assistant (Virginia)
- 0110010146
- Internal Medicine (Virginia)
- 0110010146
Practice Locations
Practice Location
1240 Lee St
Charlottesville, Virginia 22908-0816
Phone: (434) 924-9333
Additional Practice Location
1215 Lee St
Charlottesville, Virginia 22908-0816
Phone: (434) 924-9333
Fax: (434) 244-7526
Record Information
- Enumeration Date
- June 13, 2024
- Provider's NPPES Record Last Updated
- August 14, 2024
- Certification Date
- August 14, 2024
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue