BRUCE JEFFREY LIPPMANN


Address: 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244
Phone: 3142516344

BRUCE JEFFREY LIPPMANN (NPI# 1346330081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346330081
Entity Type Individual
Full Name BRUCE JEFFREY LIPPMANN
Credential MD
Practice Address 621 S New Ballas Rd
Suite 3015b
St Louis
MO 63141-8244
Practice Telephone 3142516344
Practice Fax Number 3142517929
Mailing Telephone 3142516344
Mailing Fax Number 3142517929
Enumeration Date 2006-10-13
Last Update Date 2007-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
R3E22 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RAILROAD MEDICARE 340017501 01
MO 202132247 05

Office Location

Street Address 621 S NEW BALLAS RD
SUITE 3015B
City ST LOUIS
State MO
Zip Code 63141-8244

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356424485 Sarah B Shores Obstetrics & Gynecology 621 S New Ballas Rd, Ste 101a, St Louis, MO 63141 2006-10-23
1669571238 Mark Douglas Ravenscraft Internal Medicine 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 2006-09-21
1730288317 Robyn Hayley Jacobs Internal Medicine 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 2006-09-21
1053414227 Joseph M Duvall Md LLC Dermatology 621 S New Ballas Rd, 5002b, St Louis, MO 63141 2006-09-06
1265454987 Ksenija Kos Psychiatry & Neurology 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 2006-07-24
1821022682 Jill E Elwing Internal Medicine 621 S New Ballas Rd, 1001b, St Louis, MO 63141 2006-07-10
1750311395 William R Logan Psychiatry & Neurology 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 2006-07-03
1770511271 Kyeong Philip Lee Psychiatry & Neurology 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 2006-06-30
1497783997 Barbara J Green Psychiatry & Neurology 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 2006-06-30
1114984242 Midwest Gastroenterology & Hepatology PC Internal Medicine 621 S New Ballas Rd, #1001b, St Louis, MO 63141 2006-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669571238 Mark Douglas Ravenscraft Internal Medicine 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 2006-09-21
1730288317 Robyn Hayley Jacobs Internal Medicine 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 2006-09-21
1235140864 Kevin J Martin Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-10
1790734994 Nicholas Gourtzelis Internal Medicine 10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 2006-05-08
1497712079 John Mellas Internal Medicine 10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 2006-04-27
1366409948 Heidi E Joist Internal Medicine 10004 Kennerly Road, Suite 374b, St Louis, MO 63128 2006-04-27
1740251198 Stanley W Buck Internal Medicine 11125 Dunn Rd, Ste 304, St Louis, MO 63136 2006-02-01
1437120888 Erik D Daniels Internal Medicine 11125 Dunn Rd, Ste 304, St Louis, MO 63136 2006-02-01
1740261783 Rosemary Ouseph Internal Medicine 3635 Vista Ave, St Louis, MO 63110 2005-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811549389 Sana Hasan Internal Medicine Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 2019-07-15
1295291409 Zeeshan Azeem Internal Medicine 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 2019-02-12
1932614153 Mohammad Walid Abuzeineh Internal Medicine 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 2017-12-11
1548788896 Nephrology Care of St Louis Internal Medicine 224 S Woods Mill Rd Ste 460, Chesterfield, MO 63017-3513 2017-09-07
1033649819 Taewoo Lee Internal Medicine 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 2017-06-14
1528502978 Bill Lauderdale Internal Medicine 288 State Hwy Y, Forsyth, MO 65653-0010 2016-12-05
1780058727 St Louis Kidney Care LLC Internal Medicine 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 2015-11-13
1104239888 Sadaf Sheikh Internal Medicine 222 S Woods Mill Rd Ste 750n, Chesterfield, MO 63017-3653 2014-06-10
1225441538 Tomonori Alan Oyadomari Internal Medicine 1009 W Saint Maartens Dr Ste F, Saint Joseph, MO 64506-2990 2014-06-04
1184056830 Ralph Robert Hatlelid Internal Medicine 318 E Swon Ave, Saint Louis, MO 63119-3112 2013-08-05
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Competitor

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City ST LOUIS
Zip Code 63141

Improve Information

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Dataset Information

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.

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