Organization Active NPI

Randee E Lipman M D P a

  • Interventional Cardiology Physician
  • Wichita, KS
National Provider Identifier
1942570742
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
23573 Issued in KS
Legal business name
RANDEE E LIPMAN M D P A
Practice address
1515 S Clifton Ave Ste 320
Wichita, KS 67218-2953
Phone
(316) 263-5889
Fax
(316) 263-5889
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Dr. Randee E Lipman, M.D.
Title
Doctor
Phone
(316) 263-5889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 23573 KS Primary

Addresses

Primary practice location

1515 S Clifton Ave Ste 320
Wichita, KS 67218-2953

Mailing address

PO Box 47641
Wichita, KS 67201-7641
Phone (316) 263-5889

Other identifiers 2

IdentifierTypeStateIssuer
KA2454OtherKSBLUE CROSS BLUE SHIELD OF KANSAS
100125840GMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1942570742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47641",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017641",
            "telephone_number": "316-263-5889",
            "fax_number": "316-263-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE STE 320",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182953",
            "telephone_number": "316-263-5889",
            "fax_number": "316-263-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDEE E LIPMAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "316-263-5889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "23573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS",
            "identifier": "KA2454",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125840G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.