Mathew W Sipple, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS13457 Issued in PA

Practice address

3250 W. Lake Rd
Suite 2
Erie, PA 16505-3691

Phone

(814) 790-4567

Fax

(814) 295-4074

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Mathew Walter Sipple Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Lake Erie College of Osteopathic Medicine, Erie, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Focused CareGroup PAC ID 8921354531, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Bay City Psychiatry, LLC

  • Psychiatry Physician
  • Erie, PA
  • NPI 1770991499

  PA, Psychiatry

  Medicare reassignment NPD Authorized official
• Center for Focused Care.

  • Psychiatry Physician
  • Erie, PA
  • NPI 1770070096

  PA, Psychiatry

  Medicare reassignment Care Compare group NPD
• Bay City Psychiatry

  • Psychiatry Physician
  • Erie, PA
  • NPI 1639559388

  Psychiatry

  NPD (past) Authorized official
• Bay City Psychiatry

  • Psychiatry Physician
  • Erie, PA
  • NPI 1588106447

  Psychiatry

  NPD (past)
• Presque Isle Psychiatric Associates

  • Psychiatry Physician
  • Erie, PA
  • NPI 1326242439

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1700958428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W. LAKE RD",
            "address_2": "SUITE 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-790-4567",
            "fax_number": "814-295-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W. LAKE RD",
            "address_2": "SUITE 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-790-4567",
            "fax_number": "814-295-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4506 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165091316",
            "country_code": "US",
            "telephone_number": "814-454-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPPLE",
        "first_name": "MATHEW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS013457",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS13457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025630550005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATHEW",
            "last_name": "SIPPLE",
            "middle_name": "WALTER",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunita Singh, M.D.
• Amy Celine Frosch Singleton
• Rachael Sinnott, PA-C
• Sarah Sinsebox, PHARMD
• Taylor Sipos, PA-C
• Sviatlana Sirash
• Karla Sisinni
• Kaden Sitter, M.A
• Susan Elaine Sitter, CRNP
• Bethany Sivak, DPT

• Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.