Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01026247A | IN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 01026247A | IN |
NPI | 1831167931 |
---|---|
Provider Name | Richard Thompson Gripe |
First Address | Indianapolis, IN 46290-1024 |
Second Address | Williamsport, IN 47993-1049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 20/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000189254 | ANTHEM PROVIDER NUMBER (01) | IN |
000000527215 | ANTHEM (01) | IN |
100231540 | (05) | IN |
9397099 | PHCS PID NUMBER (01) | IN |
E03830 | (02) | IN |
GR80531020 | (05) | IN |
P00645962 | RAILROAD MEDICARE (01) | IN |