JACKIE M TRIPP MD PLC (NPI# 1427076975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427076975 |
| Entity Type | Organization |
| Organization Name | JACKIE M TRIPP MD PLC |
| Practice Address |
5130 Linton Blvd Suite C1 Delray Beach FL 33484-6596 |
| Practice Telephone | 5618196888 |
| Practice Fax Number | 5618195448 |
| Mailing Telephone | 5618196888 |
| Mailing Fax Number | 5618195448 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | DR. JACKIE M TRIPP (MANAGER) |
| Authorized Official Telephone | 5618196888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
5130 LINTON BLVD SUITE C1 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-6596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320539 | Jack Edward Ressler | Podiatrist | 5130 Linton Blvd, Suite B5, Delray Beach, FL 33484-6596 | 2005-07-19 |
| 1285154286 | East Atlantic Surgical Group, Inc | Surgery | 5130 Linton Blvd, Suite G, Delray Beach, FL 33484-4566 | 2017-06-21 |
| 1578006060 | Luisa Maria Indiviglio | Physician Assistant | 5130 Linton Blvd, Suite H1, Delray Beach, FL 33484-6596 | 2016-12-01 |
| 1578938734 | Andrea Nicole Ristaino | Nurse Practitioner | 5130 Linton Blvd, Suite H-2, Delray Beach, FL 33484-6596 | 2015-12-14 |
| 1639547938 | 21st Century Oncology LLC | Urology | 5130 Linton Blvd, Suite C-1, Delray Beach, FL 33484-6596 | 2015-09-03 |
| 1902288483 | She Ling Wong Md Pa | Surgery | 5130 Linton Blvd, Suite E-2, Delray Beach, FL 33484-6596 | 2015-06-22 |
| 1790177483 | Janet Scott | Clinical Nurse Specialist | 5130 Linton Blvd, Ste E-2, Delray Beach, FL 33484-6596 | 2015-03-04 |
| 1497177422 | Michelle Kaplan Md Pa | Psychiatry & Neurology | 5130 Linton Blvd, Suite B2, Delray Beach, FL 33484-6596 | 2014-01-10 |
| 1538423157 | Palm Beach Pain Institute Inc | Pain Medicine | 5130 Linton Blvd, Suite C-2, Delray Beach, FL 33484-6596 | 2012-06-28 |
| 1144592759 | Dmc Imaging LLC | Radiology | 5130 Linton Blvd, Delray Beach, FL 33484-6596 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295129294 | Brittany P Smirnov | Dermatology | 2605 W Atlantic Ave Ste D204, Delray Beach, FL 33445-4418 | 2015-03-27 |
| 1104173905 | Gold Coast Dermatology Center, Pllc | Dermatology | 4600 Linton Blvd Ste 340, Delray Beach, FL 33445-6600 | 2012-08-10 |
| 1558598698 | Francesca J Lewis | Dermatology | 550 Se 6th Ave, Ste 100, Delray Beach, FL 33483-5252 | 2009-06-16 |
| 1700024833 | Yvette Arlene Tivoli | Dermatology | 16244 S Military Trl Ste 490, Delray Beach, FL 33484 | 2009-01-28 |
| 1427223155 | Prethi Sundaram-mohip | Dermatology | 13660 Jog Road, S.8, Delray Beach, FL 33437-6157 | 2008-04-24 |
| 1760651921 | Danielle A Manolakos | Dermatology | 15280 S. Jog Road, S. B, Delray Beach, FL 33446 | 2008-02-21 |
| 1437242054 | Janet D Allenby | Dermatology | 6290 Linton Blvd., Suite 204, Delray Beach, FL 33484 | 2006-10-02 |
| 1821107061 | Andrea Colton | Dermatology | 6290 Linton Blvd Ste 2, Delray Beach, FL 33484-6409 | 2006-08-30 |
| 1740399963 | Eliahou Cohen | Dermatology | 6290 Linton Blvd Ste 201, Delray Beach, FL 33484-6409 | 2006-08-30 |
| 1780656611 | Matthew Uhde | Dermatology | 5210 Linton Blvd # 306-307, Delray Beach, FL 33484-6542 | 2006-02-04 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
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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.