DR. KEVIN P LIPSCOMB (NPI# 1285631028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285631028 |
| Entity Type | Individual |
| Full Name | DR. KEVIN P LIPSCOMB |
| Credential | M.D. |
| Practice Address |
11505 Rangeland Pkwy Bradenton FL 34211-4041 |
| Practice Telephone | 9419076016 |
| Practice Fax Number | 9419070199 |
| Mailing Telephone | 9419076016 |
| Mailing Fax Number | 9419070199 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME74654 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 42675 | 01 |
| FL | 258694100 | 05 | |
| FL | RAILROAD MEDICARE | P01096267 | 01 |
| Street Address |
11505 RANGELAND PKWY |
| City | BRADENTON |
| State | FL |
| Zip Code | 34211-4041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702799 | Anthony R Hemmer | Family Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 | 2005-07-07 |
| 1184271835 | Lindsey Ann Minick | Physical Therapist | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2019-08-19 |
| 1710539416 | Justin Lee Russell | Physician Assistant | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2019-07-12 |
| 1003310103 | Amber Swartz | Nurse Practitioner | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2018-03-22 |
| 1649680562 | Ryan Asterita | Internal Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2014-04-30 |
| 1952735219 | Mark A. Dreyer | Podiatrist | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2013-08-22 |
| 1902152358 | Alexander L Thacker | Family Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2012-08-02 |
| 1699082800 | Ian M Walsh | Physical Therapist | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2010-09-09 |
| 1811123680 | Elizabeth Anne Kimsey | Nurse Practitioner | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 | 2009-06-06 |
| 1295998292 | Fariba M Donovan | Internal Medicine | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
| 1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
| 1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
| 1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
| 1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
| 1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
| 1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
| Find all providers in zip 34211 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797737 | Rhc Bradenton LLC | Family Medicine | 4502 Cortez Rd W Ste 301a, Bradenton, FL 34210-3124 | 2020-10-13 |
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1386201408 | Amado Castellon | Family Medicine | 822 62nd Street Cir E Ste 102, Bradenton, FL 34208-6208 | 2019-05-23 |
| 1316410475 | Open Access Urgent Care | Family Medicine | 1838 Rye Rd Ste 107, Bradenton, FL 34212-9038 | 2019-01-10 |
| 1699219113 | Lakewood Ranch Primary Care Associates | Family Medicine | 822 62nd Street Cir E, Suite 102, Bradenton, FL 34208-6208 | 2016-12-19 |
| 1346633708 | Cortez Knee and Sports Medicine, LLC | Family Medicine | 6203 Cortez Rd W, Bradenton, FL 34210-2602 | 2015-03-10 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1679984561 | Ofelia Alessandra Lopez | Family Medicine | 1911 83rd St Nw, Bradenton, FL 34209-9753 | 2014-05-13 |
| 1558655191 | Victor Lee Kim | Family Medicine | 8614 E State Road 70 Ste 200, Bradenton, FL 34202-3710 | 2011-05-31 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.