Robin L Mozenter Tippett, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C0004006 Issued in MD

Practice address

900 Caton Ave
Operating Room
Baltimore, MD 21229-5201

Phone

(410) 368-2414

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Robin L Polingher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1548402050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 TUCKAHOE CT",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592599",
            "telephone_number": "610-316-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "address_2": "OPERATING ROOM",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZENTER TIPPETT",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA000021L",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0004006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "POLINGHER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Moylan, LCPC PA
• Meghin Moynihan
• Verity Grace Moynihan, MBBS
• Mahvash Mozafarian
• Mansoor Mozayan, MD
• Alinafe Mpanda, MD
• Umuto Mpayamaguru, CRNA
• Mpowered Physical Therapy, LLC
• Mppandc LLC
• MPRC

• Surgical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.