DEREK J CRIPPS LLC NPI 1659524981

NPI Information

  • NPI: 1659524981
  • Provider Name: DEREK J CRIPPS LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Other Name: DEREK J CRIPPS MD LLC
  • Address: 2817 NEW PINERY RD
    PORTAGE, WI
    ZIP 53901
  • Phone: (608) 745-5093

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NPI Details

DEREK J CRIPPS LLC is a medical specialty clinic center in Portage, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DEREK J CRIPPS LLC NPI is 1659524981. The provider is registered as an organization entity type.
The provider Other Name Is Derek J Cripps Md Llc.

The provider's business location address is:

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901-257
Phone: (608) 745-5093

The provider's authorized official is Derek James Cripps .
The authorized official title is Emeritus Professor Of Medicine and has the following contact phone number (608) 244-1712.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 10/30/2008.

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
1261QM2500XClinic/CenterMedical Specialty15388WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B52234MEDICARE UPINWISCONSIN

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: 3/30/2025

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