Organization Active NPI

Vincent J Tripi DO PA

  • Specialist
  • Lakeland, FL
National Provider Identifier
1053321224
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS1373 Issued in FL
Legal business name
VINCENT J TRIPI DO PA
Practice address
1521 E Memorial Blvd
Lakeland, FL 33801-2222
Phone
(863) 802-8200
Fax
(863) 802-8100
NPI assigned
Aug 9, 2006
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Vincent J Tripi, DO
Title
Owner
Phone
(763) 802-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS1373 FL Primary

Addresses

Primary practice location

1521 E Memorial Blvd
Lakeland, FL 33801-2222

Mailing address

1521 E Memorial Blvd
Lakeland, FL 33801-2222
Phone (863) 802-8200

Other identifiers 1

IdentifierTypeStateIssuer
RAILRIOAD MEDICAREOtherFLDC5911

National Provider Directory

National Provider Directory

Locations

1521 E Memorial Blvd
Lakeland, FL 33801
Phone (863) 802-8200

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1053321224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E MEMORIAL BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012222",
            "telephone_number": "863-802-8200",
            "fax_number": "863-802-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E MEMORIAL BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012222",
            "telephone_number": "863-802-8200",
            "fax_number": "863-802-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT J TRIPI DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "TRIPI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-802-8200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS1373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC5911",
            "identifier": "RAILRIOAD MEDICARE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.