Waco Internal Medicine Associates, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WACO INTERNAL MEDICINE ASSOCIATES, P.A.

Practice address

2800 Lyle Ave
Waco, TX 76708-2680

Phone

(254) 756-7091

Fax

(254) 754-2666

NPI assigned

Jan 10, 2007

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ross F Shipp, M.D.NPI 1871567099

Title

President

Phone

(254) 756-7091

Specialties & licenses 1

Addresses

Locations

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.

• Ross Franklin Shipp, MD

  • Internal Medicine Physician
  • Waco, TX
  • NPI 1871567099
  Authorized official Same address or phone
• James Lloyd Copeland Jr., MD

  • Internal Medicine Physician
  • Waco, TX
  • NPI 1174597348
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1891844585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LYLE AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767082680",
            "telephone_number": "254-756-7091",
            "fax_number": "254-754-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LYLE AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767082680",
            "telephone_number": "254-756-7091",
            "fax_number": "254-754-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO INTERNAL MEDICINE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-756-7091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Waco, TX
• Providers in Waco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.