Active NPI
Arthur Sippo, M.D.
- Emergency Medicine Physician
- O Fallon, IL
National Provider Identifier
1023042165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-102958
- Practice address
- 103 N Oak St
O Fallon, IL 62269-1165 - Phone
- (618) 624-3368
- Fax
- (618) 624-3387
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-102958 | IL | Primary |
Addresses
Primary practice location
103 N Oak St
O Fallon, IL 62269-1165
Mailing address
103 N Oak St
O Fallon, IL 62269-1165
Phone (618) 624-3368
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 |
|---|---|---|---|
| 036-102958 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Holy Family Hospital Inc | Past | Accepting new patients | |
| HCC Region II LLC | Past | Accepting new patients | |
| HSHS Holy Family Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- asipp@yourcarecommunity.org
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023042165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N OAK ST",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691165",
"telephone_number": "618-624-3368",
"fax_number": "618-624-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N OAK ST",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691165",
"telephone_number": "618-624-3368",
"fax_number": "618-624-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPPO",
"first_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-102958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.