Nottasorn Plipat, M.D.,PH.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD450212 Issued in PA

Practice address

420 W Township Line Rd
Havertown, PA 19083-5210

Phone

(610) 449-6200

NPI assigned

Feb 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1392422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1871917575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835210",
            "telephone_number": "610-449-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLIPAT",
        "first_name": "NOTTASORN",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-15",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD450212",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "PA",
            "license": "MD450212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Mid-Atlantic Pain Medicine, PC
• Allison Moeller Pisapia
• Maria Pistorio, LPC
• Stephanie Pizzica
• Platinum Health at Westgate LLC (Westgate Hills Rehabilitation and Nursing Center)
• Michael Joseph Polino, D.C.
• John B Pollock, PHARMD
• Susan Poussart
• Sarah Power
• Susan S. Power, LPC

• Pediatrics Physician in Havertown, PA
• Providers in Havertown, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.