Active NPI
Christopher M Scipione
- Emergency Medicine Physician
- Paoli, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01067558A
- Practice address
- 642 W Hospital Rd
Paoli, IN 47454-9672 - Phone
- (812) 723-7451
- Fax
- (812) 723-7508
- NPI assigned
- Apr 29, 2006
- Last updated
- Dec 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01067558A | IN | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301076539 | MI |
Addresses
Primary practice location
642 W Hospital Rd
Paoli, IN 47454-9672
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 353-3087
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4931837 | Medicaid | MI | |
| 4931828 | Medicaid | MI | |
| CS076539 | Other | MI | BLUE CROSS BLUE SHIELD |
| 200967600 | Medicaid | IN | |
| 4931846 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067558A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Stat Care PC | Emergency Medical Services | Past | Accepting new patients |
| Statcare PC | Emergency Medicine | Past | Accepting new patients |
| Obscare PC | Emergency Medicine | Past | Accepting new patients |
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients | |
| Lake Country Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Organizations & group practices 8
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.
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-
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-
dba Deaconess Comprehensive Pain Management - Jasper
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- NPI 1457164543
-
- Emergency Medicine Physician
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-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1255361598
-
- Emergency Medical Services (Emergency Medicine) Physician
- Flint, MI
- NPI 1013919372
-
- Emergency Medicine Physician
- Grand Blanc, MI
- NPI 1255333498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1205893484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329",
"telephone_number": "812-353-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 W HOSPITAL RD",
"city": "PAOLI",
"state": "IN",
"postal_code": "474549672",
"telephone_number": "812-723-7451",
"fax_number": "812-723-7508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIPIONE",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-29",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01067558A",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301076539",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4931837",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4931828",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "CS076539",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200967600",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4931846",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, IN
- Roger W Dillman DDS PC
- Ellen Rothrock
- Safe Haven Recovery Engagement Center
- Sergio S. Sales, MD
- Christine Sands, PTA
- Wallace Shellenberger, M.D.
- Danielle Smuck, PHARMD
- Southeast Township (Orange County) Volunteer Fire Company in (southeast vol. fire dept.)
- Southern Indiana Community Health Care (Comprehensive Health Care)
- Southern Indiana Community Health Care (Comprehensive Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.