JUSTIN TYLER LIPSEY PA NPI 1053984013

NPI Information

NPI: 1053984013
Provider Name: JUSTIN TYLER LIPSEY, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
611 E JUBAL EARLY DR
WINCHESTER, VA
ZIP 22601
Phone: (540) 536-5500
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Justin Tyler Lipsey, PA is a medical physician assistant in Winchester, VA with 3 years of experience. Justin Tyler Lipsey, PA NPI is 1053984013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

611 E JUBAL EARLY DR
WINCHESTER, VA
ZIP 22601-178
Phone: (540) 536-5500
Fax: (540) 536-5507

The NPI 1053984013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 1/31/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110007917	VIRGINIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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