Philip E Tippen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116768 Issued in MO

Practice address

150 S Mount Auburn Rd
Suite 342
Cape Girardeau, MO 63703-4910

Phone

(573) 335-2212

Fax

(573) 339-5946

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Visiting Nurse Association of Southeast Missouri Inc

  • Family Nurse Practitioner
  • Kennett, MO
  • NPI 1295403202

  MO

  Medicare reassignment NPD
• Mt. Auburn Medical Group, LLC

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1306017769

  Internal Medicine

  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Pemiscot County Memorial Hospital

  • Clinic/Center
  • Hayti, MO
  • NPI 1386807675
  NPD (past)
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467542571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "address_2": "SUITE 342",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034910",
            "telephone_number": "573-335-2212",
            "fax_number": "573-339-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "address_2": "SUITE 342",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034910",
            "telephone_number": "573-335-2212",
            "fax_number": "573-339-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPEN",
        "first_name": "PHILIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "116768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203998547",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Parr Thorpe, MD
• Minyo Lynne Ticer, FNP-BC
• Lauren Marie Tillman
• Nicole Marie Tillman, MACCC-SLP
• Randy Tingwall
• Richard James Tipton, DO
• Danielle Toal, DNP, APRN, FNP-C
• Richard William Tobey, D.O.
• Gregory A Tobin, M.D.
• Lisa Tolbert

• All providers in Cape Girardeau, MO
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.