Vickie W Wipperman, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

01031312A Issued in IN

Practice address

19567 Cleveland Rd
South Bend, IN 46637-3201

Phone

(574) 277-7600

Fax

(574) 277-7690

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194945162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19567 CLEVELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373201",
            "telephone_number": "574-277-7600",
            "fax_number": "574-277-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19567 CLEVELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373201",
            "telephone_number": "574-277-7600",
            "fax_number": "574-277-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPPERMAN",
        "first_name": "VICKIE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01031312A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Lewis Winkler, M.D.
• Derrick Lamonte Winston
• Mychaela Mychelle Winston, RBT
• Heather D Winterrowd
• Bryan R Wipperman, M.D.
• Justine Wise, LCSW
• Jody Lynn Wiseman, M.D.
• Madelyn Wiseman
• Juliana M Witham, OPTICIAN
• Grace Woenkhaus, RBT

• Occupational Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Occupational Medicine Physician in Indiana

• 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.

Verify at the official NPI Registry.