ALAN MATTHEW TRIPP (NPI# 1396829925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396829925 |
| Entity Type | Individual |
| Full Name | ALAN MATTHEW TRIPP |
| Credential | D.O. |
| Practice Address |
1413 N Elm St Suite 204 Henderson KY 42420-2768 |
| Mailing Address |
1305 N Elm St Henderson KY 42420-2783 |
| Practice Telephone | 2708309973 |
| Practice Fax Number | 2708309975 |
| Mailing Telephone | 2706312412 |
| Mailing Fax Number | 2708277558 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 04032 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 1876 | TN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 02004102A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201119270 | 05 | |
| IN | BCBS | 00000793150 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659613933 | Alan Tripp | Social Worker | 625 W Washington Ave, Madison, WI 53703-2637 | 2013-03-25 |
| Street Address |
1413 N ELM ST SUITE 204 |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905169 | Gregory Brent Hagedorn | Optometrist | 1413 N Elm St, Suite 102, Henderson, KY 42420-2768 | 2006-05-02 |
| 1437535648 | Crystal Stone Oliver | Optometrist | 1413 N Elm St, Suite 102, Henderson, KY 42420-2768 | 2015-08-11 |
| 1346631603 | Pamela Raleigh | Social Worker | 1413 N Elm St, Ste 205, Henderson, KY 42420-2768 | 2015-02-09 |
| 1912271255 | Dr. Gregory B. Hagedorn, Od | Optometrist | 1413 N Elm St, Suite 102, Henderson, KY 42420-2768 | 2012-03-05 |
| 1508168972 | Ricardo B Maddela Md Psc | Surgery | 1413 N Elm St, Henderson, KY 42420-2768 | 2010-11-17 |
| 1245547892 | Methodist Health, Inc. | Surgery | 1413 N Elm St, Suite 204, Henderson, KY 42420-2768 | 2010-09-02 |
| 1144536251 | Community United Methodist Hospital, Inc. | Surgery | 1413 N Elm St, Henderson, KY 42420-2768 | 2010-08-26 |
| 1609000165 | Radhika Inc | Clinical Medical Laboratory | 1413 N Elm St, Henderson, KY 42420-2771 | 2009-05-12 |
| 1578739132 | Henderson Lab and Xray | Clinic/Center | 1413 N Elm St, Henderson, KY 42420-2768 | 2008-05-05 |
| 1669648226 | Henderson Lab and Xray | Clinical Medical Laboratory | 1413 N Elm St, Henderson, KY 42420-2768 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568373 | Nitin J. Engineer Md Plastic Surgery Pllc | Surgery | 2821 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-4429 | 2020-01-28 |
| 1609288752 | Amber N Koon | Surgery | 1413 N Elm St Ste 204, Henderson, KY 42420-2773 | 2014-05-23 |
| 1003166877 | Hon Kei Poon Md Facs PC | Surgery | 2008 Colvin Run Dr, Henderson, NV 89052-6987 | 2012-09-19 |
| 1891081014 | Chanukya Reddy Dasari | Surgery | 710 Coronado Center Dr Ste 200, Henderson, NV 89052-4291 | 2011-06-27 |
| 1649407347 | Christopher R Costa | Surgery | 870 Seven Hills Dr Ste 101, Henderson, NV 89052 | 2009-06-19 |
| 1912110677 | General Surgical Consultants LLC | Surgery | 10001 S Eastern Ave Ste 206, Henderson, NV 89052-3908 | 2007-05-08 |
| 1053535377 | Joel I. Davidson | Surgery | 1550 Tuscano Ct, Henderson, NV 89052-4142 | 2007-04-11 |
| 1881723757 | Melvin Mayer | Surgery | 2610 W Horizon Ridge Pkwy Ste 203, Henderson, NV 89052-2870 | 2007-03-05 |
| 1780787010 | Josette E Spotts | Surgery | 1485 W Warm Springs Rd Ste 105, Henderson, NV 89014 | 2006-09-05 |
| 1982711628 | Timothy W Tollestrup | Surgery | 3035 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-4189 | 2006-08-25 |
| Find all providers in HENDERSON | ||||
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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.