Organization Active NPI

Raymond L. Tipton M D PC

  • Internal Medicine Physician
  • Titusville, PA
National Provider Identifier
1295807477
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD026931E Issued in PA
Legal business name
RAYMOND L. TIPTON M D PC
Practice address
119 E Mechanic St
Titusville, PA 16354-2161
Phone
(814) 827-9007
Fax
(814) 827-2548
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Ms. Sherry A Schaming
Title
Offfice Manager
Phone
(814) 827-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD026931E PA Primary

Addresses

Primary practice location

119 E Mechanic St
Titusville, PA 16354-2161

Mailing address

119 E Mechanic St
Titusville, PA 16354-2161
Phone (814) 827-9007

Other identifiers 2

IdentifierTypeStateIssuer
605868OtherPABLUE SHIELD
0008652410003MedicaidPA

Other names 1

  • Raymond L. Tipton M D Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1295807477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MECHANIC ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542161",
            "telephone_number": "814-827-9007",
            "fax_number": "814-827-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MECHANIC ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542161",
            "telephone_number": "814-827-9007",
            "fax_number": "814-827-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND L. TIPTON M D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "SCHAMING",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFFICE MANAGER",
        "authorized_official_telephone_number": "814-827-9007",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD026931E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "605868",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008652410003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymond L. Tipton M D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.