Tipton Family Practice Associates, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

01053633 Issued in IN

Legal business name

TIPTON FAMILY PRACTICE ASSOCIATES, INC

Practice address

239 Ash St
Tipton, IN 46072-1752

Phone

(765) 675-8733

Fax

(765) 675-7121

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry R Powell II, MD

Title

President

Phone

(765) 675-8733

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1467634584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ASH ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460721752",
            "telephone_number": "765-675-8733",
            "fax_number": "765-675-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 ASH ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460721752",
            "telephone_number": "765-675-8733",
            "fax_number": "765-675-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPTON FAMILY PRACTICE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-675-8733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01053633",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01053633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Waters of Tipton Skilled Nursing Facility LLC
• Thomas a Brady Sports Medicine Center, PC
• Tipton Chiropractic and Wellness
• Tipton Chiropractic Center Inc
• Tipton County Board of Commissioners
• Jeffrey L Tweedy, OD
• Upperline Healthcare PC
• Mark Vare
• James Tyler Vestile, DPM
• Jeffrey W Walker, MD

• Physical Medicine & Rehabilitation Physician in Tipton, IN
• Providers in Tipton, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.