Organization Active NPI

Waco Internal Medicine Associates, P.a.

  • Internal Medicine Physician
  • Waco, TX
National Provider Identifier
1891844585
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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.
Title
President
Phone
(254) 756-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2800 Lyle Ave
Waco, TX 76708-2680

Mailing address

2800 Lyle Ave
Waco, TX 76708-2680
Phone (254) 756-7091

National Provider Directory

National Provider Directory

Locations

2800 Lyle Ave
Waco, TX 76708
Phone (254) 297-7100

340 Richland West Cir
Waco, TX 76712
Phone (254) 399-9291

405 Londonderry Dr
Ste 303
Waco, TX 76712
Phone (254) 399-6730

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": "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": []
}

Other providers in Waco, TX

Sources for this page

  • 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.