Warren Herman Tripp Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19584 Issued in AZ

Practice address

1140 S San Jose
Suite B
Mesa, AZ 85202-3879

Phone

(480) 833-1859

Fax

(480) 833-3298

NPI assigned

Aug 30, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Future Family Medicine PLLC

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1770752115
  Authorized official Same address or phone
• Infinite Health & Wellness Centers PLLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1114206638
  NPD (past)
• TMJ of Arizona LLC

  dba Core Sleep Solutions

  • Durable Medical Equipment & Medical Supplies
  • Chandler, AZ
  • NPI 1891104790
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174633234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S SAN JOSE",
            "address_2": "SUITE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852023879",
            "telephone_number": "480-833-1859",
            "fax_number": "480-833-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SAN JOSE",
            "address_2": "SUITE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852023879",
            "telephone_number": "480-833-1859",
            "fax_number": "480-833-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "WARREN",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365404",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triple R Behavioral Health, Inc.
• Triple R. Behavioral Health, Inc
• Tripp Family Medicine, P.a.
• Erica Tripp
• Kathleen M Tripp
• Mihir J Trivedi, DPT
• Julie Trogan, M.S. CCC-SLP
• Colleen Trombly, MHSA, RDH, BS
• Jessica Trotter
• Rita Elaine Troxtel, O.T.R.

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.