David Allen Tipton, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME41548 Issued in FL

Practice address

Building M7-0355
Room 1116B
Kennedy Space Center, FL 32899

Phone

(321) 867-6385

Fax

(321) 867-3881

NPI assigned

Mar 21, 2013

Last updated

Mar 21, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1760724397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIL CODE: TA-A4A",
            "city": "KENNEDY SPACE CENTER",
            "state": "FL",
            "postal_code": "32899",
            "telephone_number": "321-867-6385",
            "fax_number": "321-867-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING M7-0355",
            "address_2": "ROOM 1116B",
            "city": "KENNEDY SPACE CENTER",
            "state": "FL",
            "postal_code": "32899",
            "telephone_number": "321-867-6385",
            "fax_number": "321-867-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME41548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Allen Hauser Jr., D.O. MPH
• Mary Kathleen Kirkland, MS, ATC, LAT, CSCS
• Violette W Salib, M.D.
• Ian Christopher Stites, LAT, ATC
• Steven P. Taubkin, M.D.
• Nicole Yacobino

• Internal Medicine Physician in Kennedy Space Center, FL
• Providers in Kennedy Space Center, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.