Mark Gustav Wipfler, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

031943 Issued in CT

Practice address

43 Hinman LN W
Southbury, CT 06488-3828

Phone

(203) 262-4443

Fax

(203) 262-4423

NPI assigned

Dec 11, 2006

Last updated

Mar 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Medical Group of Greater Waterbury PC

  • Internal Medicine Physician
  • Middlebury, CT
  • NPI 1750306015
  NPD (past)
• Alliance Medical Group, Inc

  • Internal Medicine Physician
  • Middlebury, CT
  • NPI 1316273071
  NPD (past)
• Amg-Livingston LLC

  dba Livingston Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Livingston, TN
  • NPI 1699869297
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1871653691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HINMAN LN W",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883828",
            "telephone_number": "203-262-4443",
            "fax_number": "203-262-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HINMAN LN W",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883828",
            "telephone_number": "203-262-4443",
            "fax_number": "203-262-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPFLER",
        "first_name": "MARK",
        "middle_name": "GUSTAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "031943",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CT",
            "license": "031943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930032965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecelia Culhane Whitney, DPT
• Kristen Eileen Wiltshire, LCSW
• Alexandra Jean Winkelstern, PT
• Catherine G Winkler, PHD, MPH, APRN
• Thomas L Winn, PA-C
• Lauren Kenna Wolfe Abdulrahman, LPC
• Claire Wolfer
• Jessica Wood
• Woundrx Medical LLC
• Allison Michelle Wozarik, L.C.S.W.

• Emergency Medical Services (Emergency Medicine) Physician in Southbury, CT
• Providers in Southbury, CT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.