Organization Active NPI

Dr Tracy Pipkin MD PA

  • Obstetrics & Gynecology Physician
  • Paris, TX
National Provider Identifier
1780949891
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L5097 Issued in TX
Legal business name
DR TRACY PIPKIN MD PA
Practice address
2870 Lewis LN Ste 229
Suite 835
Paris, TX 75460-9380
Phone
(903) 739-9006
Fax
(903) 737-4577
NPI assigned
Jul 5, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Dr. Tracy Pipkin, MDNPI 1073517488
Title
Owner
Phone
(903) 739-9006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L5097 TX Primary

Addresses

Primary practice location

2870 Lewis LN Ste 229
Suite 835
Paris, TX 75460-9380

Mailing address

2870 Lewis LN Ste 229
Suite 835
Paris, TX 75460-9380
Phone (903) 739-9006

Other identifiers 1

IdentifierTypeStateIssuer
L5097OtherTXMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120822000443 TX Part B Supplier - Clinic/Group Practice 4284881558 Receives reassigned benefits from 1 practitioner
Practice locations: Paris, TX

National Provider Directory

National Provider Directory
Tax ID family
Dr Tracy Pipkin MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2870 Lewis Ln
Ste 229
Paris, TX 75460
Phone (214) 221-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1780949891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 LEWIS LN STE 229",
            "address_2": "SUITE 835",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609380",
            "telephone_number": "903-739-9006",
            "fax_number": "903-737-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 LEWIS LN STE 229",
            "address_2": "SUITE 835",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609380",
            "telephone_number": "903-739-9006",
            "fax_number": "903-737-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TRACY PIPKIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "PIPKIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-739-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L5097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "L5097",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.