Adeluola G Lipede, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R7F89 Issued in MO

Practice address

9231 W Florissant Ave
Saint Louis, MO 63136-1422

Phone

(314) 522-1888

Fax

(314) 522-9674

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1376503250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3980",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630063980",
            "telephone_number": "314-522-1888",
            "fax_number": "314-522-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361422",
            "telephone_number": "314-522-1888",
            "fax_number": "314-522-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPEDE",
        "first_name": "ADELUOLA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R7F89",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R7F89",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "R7F89",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha C Lintvedt, L.P.C.,N.C.C.,A.C.S.
• Joseph Linville, NP
• Thomas Lionberger, RN
• Lionrock Behavioral Health, Inc
• Johnathan Lipe
• Traci Ann Lipic, OTR/L
• Deborah Vonarx Lipina
• Justin Lipomi
• Kenneth Joe Lippert
• Mary Elizabeth Lippert, OTR/L

• General Practice Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.