Mark David Lipetz

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

10263 Issued in HI

Legal business name

MARK DAVID LIPETZ

Practice address

41 E Lipoa St Ste 22
Kihei, HI 96753-8148

Phone

(808) 891-1177

Fax

(808) 891-2255

NPI assigned

Feb 22, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark D. Lipetz, M.D.NPI 1306919956

Title

Owner

Phone

(808) 891-1177

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark David Lipetz, MD

  • Internal Medicine Physician
  • Kihei, HI
  • NPI 1306919956
  Authorized official Same address or phone

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1568597235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E LIPOA ST STE 22",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538148",
            "telephone_number": "808-891-1177",
            "fax_number": "808-891-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E LIPOA ST STE 22",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538148",
            "telephone_number": "808-891-1177",
            "fax_number": "808-891-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID LIPETZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LIPETZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-891-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "10263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Kihei, HI
• Providers in Kihei, HI by specialty
• Medical Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.