John W Phipps

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JOHN W PHIPPS

Practice address

1133 Willow St
Horseheads, NY 14845-2806

Phone

(607) 739-8616

Fax

(607) 739-1655

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

John W Phipps

Title

Owner

Phone

(607) 739-8616

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1689854549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WILLOW ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452806",
            "telephone_number": "607-739-8616",
            "fax_number": "607-739-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WILLOW ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452806",
            "telephone_number": "607-739-8616",
            "fax_number": "607-739-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W PHIPPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-739-8616"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHEILD",
            "identifier": "1B000002124",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201264",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jalaluddin Medical PLLC
• Jan K. Liberatore
• Bryan Lee Jarvis, D.O.
• Jeffrey M Patterson
• Anne Louise Jernigan, M.S. CCC-SLP
• Beverly D Jonas, MHS, OTR/L
• Amy L. Jones
• John Juriga, M.D.
• Ravi Raj Kavuda, M.D.
• Muhammad Hassan Khan, MD

• Durable Medical Equipment & Medical Supplies in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.