Ginevra Lois Liptan, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

28421 Issued in OR

Practice address

6400 SW Canyon CT
Ste 100
Portland, OR 97221-1459

Phone

(503) 477-9616

Fax

(503) 477-9808

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Recovery Works NW LLC

  • Multi-Specialty Clinic/Center
  • Tigard, OR
  • NPI 1083010094
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1003012618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SW CANYON CT",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211459",
            "telephone_number": "503-477-9616",
            "fax_number": "503-477-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SW CANYON CT",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211459",
            "telephone_number": "503-477-9616",
            "fax_number": "503-477-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTAN",
        "first_name": "GINEVRA",
        "middle_name": "LOIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "28421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Parker Lipshutz, PHARMD
• Elizabeth Lipski, CCN
• Emily Jean Lipski
• Adam Benjamin Lipson, MD
• Gary S Lipson, CADC1
• James Liptan, LMT
• Sarah Jan Lipton, M.D.
• Patricia Lis
• Lisa a. L. Kouzes, DC
• Lisa C Francolini Lac PC (River West Acupuncture)

• Pain Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.