Gary Tipton, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101-031425 Issued in VA

Practice address

7347 Bell Creek Rd
Suite 100
Mechanicsville, VA 23111-3504

Phone

(804) 559-9430

Fax

(804) 559-2037

NPI assigned

Aug 21, 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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Richmond Pediatric Associates, Inc.

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1689788390
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770698250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 INDEPENDENCE PARK DR",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331473",
            "telephone_number": "804-747-1855",
            "fax_number": "804-762-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7347 BELL CREEK RD",
            "address_2": "SUITE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113504",
            "telephone_number": "804-559-9430",
            "fax_number": "804-559-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101-031425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "329785",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6730043",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "179100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6703739",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7925863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Thrift, OT
• Christen A. Thruston, LSLP
• Alan Thurman, M.D.
• Elizabeth Thurman, LSLP
• Tidewater Physical Therapy, LLC
• Stephanie Q Tirone, ACNP-AG
• Jean Todd, LCSW
• Margaret Todd, IBCLC
• Catherine Tomlin, PT, DPT, OCS
• Leslie A Torbert, NP

• Pediatrics Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.