Active NPI
Phillip Anthony Lipira, DPM
- Foot Surgery Podiatrist
- Saint Joseph, MO
National Provider Identifier
1316941172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 000361
- Practice address
- 1005A W Saint Maartens Dr
Saint Joseph, MO 64506-2989 - Phone
- (816) 364-2338
- Fax
- (816) 364-1003
- NPI assigned
- Jun 9, 2005
- Last updated
- May 7, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 000361 | MO | Primary |
Addresses
Primary practice location
1005A W Saint Maartens Dr
Saint Joseph, MO 64506-2989
Mailing address
1005A W Saint Maartens Dr
Saint Joseph, MO 64506-2989
Phone (816) 364-2338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04529022 | Other | MO | BC/BS OF KC |
| P000062470 | Other | MO | PALMETTO GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000361 | MO | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Foot Clinic LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1316941172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005A W SAINT MAARTENS DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062989",
"telephone_number": "816-364-2338",
"fax_number": "816-364-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005A W SAINT MAARTENS DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062989",
"telephone_number": "816-364-2338",
"fax_number": "816-364-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPIRA",
"first_name": "PHILLIP",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MO",
"license": "000361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF KC",
"identifier": "04529022",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "P000062470",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.