Active NPI
Thomas Victor Ripp, MD
- Otolaryngology Physician
- Greenville, TX
National Provider Identifier
1770515017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G6994
- Practice address
- 4000 Medical Pkwy
Greenville, TX 75401-7854 - Phone
- (903) 454-6481
- Fax
- (903) 454-6486
- NPI assigned
- Jul 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G6994 | TX | Primary |
| Specialist | 174400000X | G6994 | TX |
Addresses
Primary practice location
4000 Medical Pkwy
Greenville, TX 75401-7854
Mailing address
4000 Medical Pkwy
Greenville, TX 75401-7854
Phone (903) 454-6481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110497801 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G6994 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1770515017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MEDICAL PKWY",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017854",
"telephone_number": "903-454-6481",
"fax_number": "903-454-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MEDICAL PKWY",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017854",
"telephone_number": "903-454-6481",
"fax_number": "903-454-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIPP",
"first_name": "THOMAS",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "G6994",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G6994",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110497801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.