Organization Active NPI

Keith M. Lipsmeyer, M.D.P.a.

  • Family Medicine Physician
  • Morrilton, AR
National Provider Identifier
1861489080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-5214 Issued in AR
Legal business name
KEITH M. LIPSMEYER, M.D.P.A.
Practice address
1711 N Business 9
Morrilton, AR 72110-4507
Phone
(501) 354-2456
Fax
(501) 354-2458
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith M Lipsmeyer, M.D.
Title
President
Phone
(501) 354-2456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C-5214 AR Primary

Addresses

Primary practice location

1711 N Business 9
Morrilton, AR 72110-4507

Mailing address

PO Box 677
Morrilton, AR 72110-0677
Phone (501) 354-2456

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861489080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100677",
            "telephone_number": "501-354-2456",
            "fax_number": "501-354-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N BUSINESS 9",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104507",
            "telephone_number": "501-354-2456",
            "fax_number": "501-354-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M. LIPSMEYER, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPSMEYER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-354-2456",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.