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DR. VIKISHA TYESE FRIPP M.D. NPI 1366484990


NPI Information

NPI: 1366484990
Provider Name: DR. VIKISHA TYESE FRIPP, M.D.
Classification: Plastic Surgery - 208200000X
Entity Type: Individual
Organization: DIMENSIONS HEALTHCARE ASSOCIATES INC

PECOS Registration: Yes

Address:
1150 VARNUM ST NE
WASHINGTON, DC
ZIP 20017
Phone: (202) 448-4080
Get Directions

DR. Vikisha Tyese Fripp, M.D. is a plastic surgery in Washington, DC with 25 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Vikisha Tyese Fripp, M.D. NPI is 1366484990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1150 VARNUM ST NE
WASHINGTON, DC
ZIP 20017-104
Phone: (202) 448-4080
Fax: (202) 448-4082

The NPI 1366484990 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 6/11/2006 and was last updated on 5/30/2014.


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 Medicine057460GEORGIANo
2208200000XPlastic Surgery057460GEORGIANo
3208200000XPlastic SurgeryMD039256DISTRICT OF COLUMBIAYes

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
1MD039256MEDICAIDDISTRICT OF COLUMBIA
2057460OTHERGEORGIAGA MEDICAL LICENSE
3511I020024MEDICARE PINGEORGIA
4511G7000201MEDICARE PINGEORGIA

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.