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MARY D TIPTON MD NPI 1922065598


NPI Information

NPI: 1922065598
Provider Name: MARY D TIPTON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: COPPERVIEW MEDICAL CENTER, LLC

PECOS Registration: Yes

Address:
3556 W 9800 S
#101
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 352-9500
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Mary D Tipton, MD is a pediatrics in South Jordan, UT with 23 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary D Tipton, MD NPI is 1922065598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

3556 W 9800 S
#101
SOUTH JORDAN, UT
ZIP 84095-211
Phone: (801) 352-9500
Fax: (801) 352-9502

The NPI 1922065598 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin A1C level (HCPCS:83036)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 4/27/2006 and was last updated on 12/18/2016.


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
1208000000XPediatrics5934303-1205UTAHYes

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
1005596706MEDICARE PINUTAH
2I28288MEDICARE UPINUTAH

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.