Active NPI
Paul Martin Ippel, MD
- Family Medicine Physician
- Chippewa Falls, WI
National Provider Identifier
1730182809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22405
- Practice address
- 2449 County Highway I
Chippewa Falls, WI 54729-4410 - Phone
- (715) 723-9138
- Fax
- (715) 723-8633
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22405 | WI | Primary |
Addresses
Primary practice location
2449 County Highway I
Chippewa Falls, WI 54729-4410
Mailing address
2449 County Highway I
Chippewa Falls, WI 54729-4410
Phone (715) 723-9138
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30316500 | Other | WI | WI RISK |
| 4F962IP | Other | WI | BLUE CROSS MINNESOTA |
| W005284 | Other | WI | CHAMPUS |
| 3010016276 | Other | WI | TRAVELERS RAILROAD |
| 5111989 | Other | WI | FIRST HEALTH |
| B53776 | Other | WI | GROUP HEALTH |
| B53776 | Other | WI | MA GROUP HEALTH |
| 1035 | Other | WI | GREATER MARSHFIELD PLAN |
| 301811 | Other | WI | CCN |
| 30316500 | Medicaid | WI | |
| 4F962IP | Other | WI | ATRIUM SENIOR PLAN |
| 4F962IP | Other | WI | ATRIUM |
| 01-19479 | Other | WI | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1730182809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547294410",
"telephone_number": "715-723-9138",
"fax_number": "715-723-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547294410",
"telephone_number": "715-723-9138",
"fax_number": "715-723-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPPEL",
"first_name": "PAUL",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "22405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI RISK",
"identifier": "30316500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MINNESOTA",
"identifier": "4F962IP",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "W005284",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS RAILROAD",
"identifier": "3010016276",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5111989",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "B53776",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA GROUP HEALTH",
"identifier": "B53776",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATER MARSHFIELD PLAN",
"identifier": "1035",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "301811",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30316500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATRIUM SENIOR PLAN",
"identifier": "4F962IP",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATRIUM",
"identifier": "4F962IP",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-19479",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.