Organization Active NPI

Dr Adam P Lipkin MD PA

  • Surgery Physician
  • Englewood, FL
National Provider Identifier
1245263987
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DR ADAM P LIPKIN MD PA
Practice address
779 Medical Dr
Suite 1
Englewood, FL 34223-5234
Phone
(941) 475-5431
Fax
(941) 475-1753
NPI assigned
Jul 8, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Adam P Lipkin, MD
Title
President
Phone
(941) 475-5431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

779 Medical Dr
Suite 1
Englewood, FL 34223-5234

Mailing address

779 Medical Dr
Suite 1
Englewood, FL 34223-5234
Phone (941) 475-5431

Other identifiers 1

IdentifierTypeStateIssuer
K9554OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

779 Medical Dr
Ste 1
Englewood, FL 34223
Phone (941) 475-5431

195 Center Rd
Unit 2
Venice, FL 34285

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1245263987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342235234",
            "telephone_number": "941-475-5431",
            "fax_number": "941-475-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342235234",
            "telephone_number": "941-475-5431",
            "fax_number": "941-475-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ADAM P LIPKIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "LIPKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-475-5431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K9554",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.