Organization Active NPI

David R. Wippermann MD PC

  • Specialist
  • Franklin, IN
National Provider Identifier
1356421895
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DAVID R. WIPPERMANN MD PC
Practice address
1155 W Jefferson St
Suite 102
Franklin, IN 46131-2730
Phone
(317) 736-7603
Fax
(317) 736-7932
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. David R Wippermann, MD
Title
Managing Partner
Phone
(317) 736-7603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IN Primary

Addresses

Primary practice location

1155 W Jefferson St
Suite 102
Franklin, IN 46131-2730

Mailing address

1155 W Jefferson St
Suite 102
Franklin, IN 46131-2730
Phone (317) 736-7603

Other identifiers 1

IdentifierTypeStateIssuer
100153920AMedicaidIN

Other names 1

  • Franklin Surgical Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1356421895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST",
            "address_2": "SUITE 102",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312730",
            "telephone_number": "317-736-7603",
            "fax_number": "317-736-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST",
            "address_2": "SUITE 102",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312730",
            "telephone_number": "317-736-7603",
            "fax_number": "317-736-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. WIPPERMANN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "WIPPERMANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "317-736-7603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.