Active NPI
Frederick Arthur Lupton III, MD
- Dermatology Physician
- Greensboro, NC
National Provider Identifier
1013990019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 33706
- Practice address
- 1587 Yanceyville St
Greensboro, NC 27405-6933 - Phone
- (336) 271-2777
- Fax
- (336) 273-1910
- NPI assigned
- Nov 22, 2005
- Last updated
- Mar 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 33706 | NC | Primary |
Addresses
Primary practice location
1587 Yanceyville St
Greensboro, NC 27405-6933
Mailing address
PO Box 14994
Greensboro, NC 27415-4994
Phone (336) 271-2777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8953282 | Medicaid | NC | |
| 53282 | Other | BCBS | |
| 070015164 | Other | NC | MEDICARE RAILROAD |
| 562221469 | Other | UHC/CIGNA/FIRST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33706 | NC | MD | Dermatology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Greensboro, NC
- NPI 1578531943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1013990019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14994",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274154994",
"telephone_number": "336-271-2777",
"fax_number": "336-273-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1587 YANCEYVILLE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056933",
"telephone_number": "336-271-2777",
"fax_number": "336-273-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPTON",
"first_name": "FREDERICK",
"middle_name": "ARTHUR",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "33706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8953282",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "53282",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "070015164",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/CIGNA/FIRST HEALTH",
"identifier": "562221469",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.