Individual provider Active NPI

Michael Anthony Stirpe I, D.C.

  • Sports Physician Chiropractor
  • Syracuse, NY
National Provider Identifier
1356441067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X03245-0 Issued in NY
Practice address
1628 W Genesee St
Syracuse, NY 13204-1952
Phone
(315) 472-7128
Fax
(315) 472-9844
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X03245-0 NY Primary

Addresses

Primary practice location

1628 W Genesee St
Syracuse, NY 13204-1952

Mailing address

1628 W Genesee St
Syracuse, NY 13204-1952
Phone (315) 472-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000226 NY Practitioner - Chiropractic 9032146022 Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X03245-0NYMDSports Physician Chiropractor

Interoperability endpoints

  • Direct secure messaging: mstirpe@hiemail.healtheconnections.org

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356441067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041952",
            "telephone_number": "315-472-7128",
            "fax_number": "315-472-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041952",
            "telephone_number": "315-472-7128",
            "fax_number": "315-472-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIRPE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X03245-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.