Derek S. Lipman MD LTD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD10662 Issued in OR

Legal business name

DEREK S. LIPMAN MD LTD

Practice address

17704 Jean Way
Ste 105
Lake Oswego, OR 97035-5497

Phone

(503) 675-6776

Fax

(503) 675-2572

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Derek S Lipman, M.D.

Title

President

Phone

(503) 675-6776

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1497928303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17704 JEAN WAY",
            "address_2": "STE 105",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355497",
            "telephone_number": "503-675-6776",
            "fax_number": "503-675-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17704 JEAN WAY",
            "address_2": "STE 105",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355497",
            "telephone_number": "503-675-6776",
            "fax_number": "503-675-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK S. LIPMAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-675-6776",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD10662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154963",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy M Denman, MD
• Karma L. Denmark, ND
• Miranda Nicole Dennis, DNP, PMHNP
• Peter Dennis, MD
• Dental Dynamics P. C.
• Stuti V Desai, MD
• Philip A. Devasto, D.C.
• Jeffrey Edward Devine, D.C.
• Kim Northcott Dewey
• Ann Dunlap Dewitt

• Otolaryngology Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Otolaryngology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.