Active NPI
H Winston Kipp, MD
- Orthopaedic Surgery Physician
- Augusta, ME
National Provider Identifier
1104892553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 008991
- Practice address
- 15 Enterprise Dr
Ste 100
Augusta, ME 04330-7894 - Phone
- (207) 621-8700
- Fax
- (207) 621-8701
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 008991 | ME | Primary |
Addresses
Primary practice location
15 Enterprise Dr
Ste 100
Augusta, ME 04330-7894
Mailing address
15 Enterprise Dr
Ste 100
Augusta, ME 04330-7894
Phone (207) 621-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110990199 | Medicaid | ME |
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 |
|---|---|---|---|
| 008991 | ME | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1104892553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ENTERPRISE DR",
"address_2": "STE 100",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043307894",
"telephone_number": "207-621-8700",
"fax_number": "207-621-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ENTERPRISE DR",
"address_2": "STE 100",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043307894",
"telephone_number": "207-621-8700",
"fax_number": "207-621-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPP",
"first_name": "H",
"middle_name": "WINSTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "008991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110990199",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.