Active NPI
John P. Lippelman MD PA
- Specialist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0043646
- Legal business name
- JOHN P. LIPPELMAN MD PA
- Practice address
- 508 S Habana Ave
Suite 220
Tampa, FL 33609-4181 - Phone
- (813) 870-0207
- Fax
- (813) 876-0303
- NPI assigned
- Nov 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Lippelman, MD
- Title
- Physician
- Phone
- (813) 870-0207
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0043646 | FL | Primary |
Addresses
Primary practice location
508 S Habana Ave
Suite 220
Tampa, FL 33609-4181
Mailing address
508 S Habana Ave
Suite 220
Tampa, FL 33609-4181
Phone (813) 870-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2001949 | John P Lippelman MD | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
508 S Habana Ave
Ste 220
Tampa, FL 33609
Phone (813) 870-0207
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Specialist
- Tampa, FL
- NPI 1134198583
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1194989244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288742400000",
"number": "1821399171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 220",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-870-0207",
"fax_number": "813-876-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 220",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-870-0207",
"fax_number": "813-876-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN P. LIPPELMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A",
"authorized_official_last_name": "LIPPELMAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "813-870-0207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0043646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.