Active NPI
Paul D Tippet, M.D.
- Reproductive Endocrinology Physician
- Wexford, PA
National Provider Identifier
1174599005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD041136E
- Practice address
- 6400 Brooktree Court
Suite 100
Wexford, PA 15090-9282 - Phone
- (724) 933-3310
- Fax
- (724) 933-3320
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | MD041136E | PA | Primary |
Addresses
Primary practice location
6400 Brooktree Court
Suite 100
Wexford, PA 15090-9282
Mailing address
6400 Brooktree Court
Suite 100
Wexford, PA 15090-9282
Phone (724) 933-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322194 | Medicaid | PA |
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 |
|---|---|---|---|
| MD041136E | PA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1174599005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 BROOKTREE COURT",
"address_2": "SUITE 100",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909282",
"telephone_number": "724-933-3310",
"fax_number": "724-933-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 BROOKTREE COURT",
"address_2": "SUITE 100",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909282",
"telephone_number": "724-933-3310",
"fax_number": "724-933-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPET",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "PA",
"license": "MD041136E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322194",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.