Glenn M Lipton MD PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

32683 Issued in AZ

Legal business name

GLENN M LIPTON MD PC

Practice address

294 W State Route 89a
Suite 110
Cottonwood, AZ 86326-3754

Phone

(928) 649-7999

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Glenn M Lipton, M.D.

Title

Officer

Phone

(928) 649-7999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1659304897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 S MAIN ST",
            "address_2": "STE. A613",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264601",
            "telephone_number": "928-649-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W STATE ROUTE 89A",
            "address_2": "SUITE 110",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263754",
            "telephone_number": "928-649-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN M LIPTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "LIPTON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "928-649-7999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "32683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.