Organization Active NPI

Doc Lipan PLLC

Doing business as Doc Lipan

  • Special Hospital
  • Phoenix, AZ
National Provider Identifier
1316340953
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
21830 Issued in AZ
Legal business name
DOC LIPAN PLLC
Doing business as
Doc Lipan
Practice address
3811 E. Bell Rd
Ste 103
Phoenix, AZ 85032
Phone
(480) 323-0588
Fax
(480) 333-5163
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Dr. Eddie Lipan, MD
Title
Owner
Phone
(602) 457-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 21830 AZ Primary

Addresses

Primary practice location

3811 E. Bell Rd
Ste 103
Phoenix, AZ 85032

Mailing address

PO Box 15515
Scottsdale, AZ 85267
Phone (480) 323-0588

Other names 1

  • Doc Lipan Doing business as

National Provider Directory

National Provider Directory

Locations

1500 S Mill Ave
Ste 103
Tempe, AZ 85281

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1316340953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15515",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85267",
            "telephone_number": "480-323-0588",
            "fax_number": "480-821-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E. BELL RD",
            "address_2": "STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "480-323-0588",
            "fax_number": "480-333-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC LIPAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "LIPAN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-457-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AZ",
            "license": "21830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc Lipan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.