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TIPPIN FAMILY MEDICINE CLINIC P. A. NPI 1295748960


NPI Information

NPI: 1295748960
Provider Name: TIPPIN FAMILY MEDICINE CLINIC, P. A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0695503

Address:
804 DANARK CIRCLE
DANVILLE, AR
ZIP 72833
Phone: (479) 495-7300
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TIPPIN FAMILY MEDICINE CLINIC, P. A. is a family medicine in Danville, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIPPIN FAMILY MEDICINE CLINIC, P. A. NPI is 1295748960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

804 DANARK CIRCLE
DANVILLE, AR
ZIP 72833-220
Phone: (479) 495-7300
Fax: (479) 495-7981

The provider's authorized official is Michelle Jean Banning-tippin .
The authorized official title is Office Manager/physcian and has the following contact phone number (479) 495-7300.

The CLIA number assigned to this NPI record is 04D0695503 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/14/2006 and was last updated on 5/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15B216MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE ID NUMBER
2121819002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.