Active NPI
Tina S. Ipe, MD
- Clinical Pathology/Laboratory Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- E-12325
- Practice address
- 15300 Kanis Rd
Little Rock, AR 72223-2004 - Phone
- (817) 689-5139
- NPI assigned
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | E-12325 | AR | |
| Clinical Pathology Physician | 207ZC0006X | E-12325 | AR | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | E-12325 | AR | Primary |
Addresses
Primary practice location
15300 Kanis Rd
Little Rock, AR 72223-2004
Mailing address
15300 Kanis Rd
Little Rock, AR 72223-2004
Phone (817) 689-5139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12325 | AR | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Children'S Hospital | Current | Accepting new patients | |
| Center for Apheresis and Regenerative Medicine PLLC | Blood Banking & Transfusion Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Methodist Pathology Associates PLLC | Blood Banking & Transfusion Medicine | Past | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
15300 Kanis Rd
Little Rock, AR 72223
Phone (501) 821-1234
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEHDDD/Endpoint/JEHDDD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Pathology/Laboratory Medicine Physician
- Little Rock, AR
- NPI 1609641240
Blood Banking & Transfusion Medicine
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- NPI 1598773079
-
- Pediatrics Physician
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- NPI 1346230968
-
- Internal Medicine Physician
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- NPI 1588654016
-
- Children's Hospital
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- NPI 1477561983
-
- Family Medicine Physician
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- NPI 1023795051
-
- Developmental - Behavioral Pediatrics Physician
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- NPI 1407021280
-
- Psychologist
- Little Rock, AR
- NPI 1578643045
-
- Anatomic Pathology & Clinical Pathology Physician
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- NPI 1508824806
Blood Banking & Transfusion Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1972746048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15300 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722232004",
"telephone_number": "817-689-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722232004",
"telephone_number": "817-689-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPE",
"first_name": "TINA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "AR",
"license": "E-12325",
"primary": false
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "AR",
"license": "E-12325",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "AR",
"license": "E-12325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.