Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-038720 | OH |
NPI | 1710911797 |
---|---|
Provider Name | Joseph P. Lipuma |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 02/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000217477 | UNISON (01) | OH |
000000503609 | ANTHEM (01) | OH |
0304914 | BCMH (01) | OH |
0579155 | (05) | OH |
1710911797 | (05) | MI |
363771 | WELLCARE (01) | OH |
3810011871 | WV MEDICAID (01) | WV |
4007560 | AETNA (01) | OH |
750851 | BUCKEYE (01) | OH |
E29641 | (02) | |
P00412486 | RAILROAD MEDICARE (01) | OH |