Roy Liptrap, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0003426 Issued in FL

Practice address

502 W Highland Blvd
Inverness, FL 34452-4720

Phone

(352) 341-3501

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Citrus Emergency Services, PA

  • Emergency Medicine Physician
  • Inverness, FL
  • NPI 1275671950
  NPD (past)
• Phoenix Emergency Services of Inverness LLC

  • Emergency Medicine Physician
  • Inverness, FL
  • NPI 1538316591
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1699831057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TOMPKINS ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344504138",
            "telephone_number": "352-341-3501",
            "fax_number": "352-341-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524720",
            "telephone_number": "352-341-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTRAP",
        "first_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA0003426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290635000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacalyn S. Leu, CRNA
• Mechelle Louise Lewis, APRN
• Tammie Marie Leydig, CNP
• Jilann Lietz, MSN, APRN, FNP-BC
• Life Medical Center of Lecanto,Inc (Kinnard Chiropractic)
• Dillon Livecche, MD
• Loving Care in Home Service of Citrus LLC
• Richard Timothy Luevano, O.T.
• Fabian Lumapas, PT
• Thomas James Lumbra, MD

• Physician Assistant in Inverness, FL
• Providers in Inverness, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.