NPIMap

Individual provider Active NPI

Anita Lipson, MD

  • Nuclear Cardiology Physician
  • Gladwyne, PA
National Provider Identifier
1467457218
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
MD041229E Issued in PA
Practice address
827 Black Rock Rd
Gladwyne, PA 19035-1402
Phone
(215) 760-5544
Fax
(888) 511-3045
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X MD041229E PA
Nuclear Medicine Physician 207U00000X DR.0063043 CO
Nuclear Cardiology Physician 207UN0901X DR.0063043 CO
Nuclear Cardiology Physician 207UN0901X MD041229E PA Primary

Addresses

Primary practice location

827 Black Rock Rd
Gladwyne, PA 19035-1402

Mailing address

PO Box 597
Woody Creek, CO 81656-0597
Phone (215) 760-5544

Other practice location 1

113 S Little Texas Ln
Woody Creek, CO 81656-8521
Phone (215) 760-5544

Other names 1

  • Anita Chevres Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0063043COMDNuclear Cardiology Physician
MD041229EPAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medical Associates, P C PastSince Sep 17, 2011 Accepting new patients
Aria Health Physician Services PastSince Sep 17, 2011 Accepting new patients
Cardiovascular Associates of Southeaster Pennsylvania PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1467457218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "WOODY CREEK",
            "state": "CO",
            "postal_code": "816560597",
            "telephone_number": "215-760-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BLACK ROCK RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351402",
            "telephone_number": "215-760-5544",
            "fax_number": "888-511-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 S Little Texas Ln",
            "address_purpose": "LOCATION",
            "city": "Woody Creek",
            "state": "CO",
            "postal_code": "816568521",
            "country_code": "US",
            "telephone_number": "215-760-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "ANITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "MD041229E",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CO",
            "license": "DR.0063043",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CO",
            "license": "DR.0063043",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": "MD041229E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "CHEVRES",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gladwyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.