LARRY J. KIPP DPM, PA (NPI# 1528215779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528215779 |
| Entity Type | Organization |
| Organization Name | LARRY J. KIPP DPM, PA |
| Practice Address |
5145 Deer Park Dr New Port Richey FL 34653-7013 |
| Mailing Address |
7117 State Road 52 Hudson FL 34667-6708 |
| Practice Telephone | 7278682128 |
| Practice Fax Number | 7278687491 |
| Mailing Telephone | 7278682128 |
| Mailing Fax Number | 7278687491 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | DR. LARRY J KIPP (PRESIDENT) |
| Authorized Official Telephone | 7278682128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P0000655 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE RAILROAD | 406480172 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16244 S Military Trl Ste 210, Delray Beach, FL 334846507 | 7278091555 | 8555523776 |
| Street Address |
5145 DEER PARK DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34653-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547729 | Peter David Candelora | Orthopaedic Surgery | 5145 Deer Park Dr, New Port Richey, FL 34653-7013 | 2005-06-13 |
| 1588990436 | Jonathan Darsey Rawls | Physician Assistant | 5145 Deer Park Dr, New Port Richey, FL 34653-7013 | 2009-10-28 |
| 1801051016 | Peter Candelora, Md, Pa | Orthopaedic Surgery | 5145 Deer Park Dr, New Port Richey, FL 34653-7013 | 2008-07-28 |
| 1770699738 | Larry J Kipp | Podiatrist | 5145 Deer Park Dr, New Port Richey, FL 34653-7013 | 2006-08-22 |
| 1013969260 | Coastal Orthopaedics and Sports | Orthopaedic Surgery | 5145 Deer Park Dr, New Port Richey, FL 34653-7013 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956033 | All Best Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7114 Congress Street, New Port Richey, FL 34653 | 2018-09-20 |
| 1851880132 | Select Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 4575 Whitton Way, Unit# 1119, New Port Richey, FL 34653 | 2018-05-02 |
| 1477050151 | A & B of Pasco, Inc | Non-emergency Medical Transport (VAN) | 6449 Sutters Mill Rd, New Port Richey, FL 34653 | 2018-04-10 |
| 1841704988 | Kelly R Stryjewski | Nurse Practitioner | 6331 State Rd 54, New Port Richey, FL 34653 | 2017-11-28 |
| 1568974921 | Life Back, LLC. | Durable Medical Equipment & Medical Supplies | 8018 Old County Road 54, New Port Richey, FL 34653 | 2017-10-25 |
| 1477002558 | Amy Rebecca Patten | Nurse Practitioner | Gulfside Hospice, 6117 Trouble Creek Road, New Port Richey, FL 34653 | 2016-09-29 |
| 1972976900 | Steven Cheung | Physical Therapist | 5138 Deer Park Drive, New Port Richey, FL 34653 | 2015-11-13 |
| 1164804852 | Drew Finnegan | Chiropractor | 7653 Cypress Trace Ct, New Port Richey, FL 34653 | 2015-06-18 |
| 1699155184 | Chad Exceen | Counselor | 8002 King Helie Blvd., Baycare Behavioral Health, New Port Richey, FL 34653 | 2015-06-01 |
| 1881025005 | Elm Tree Lodge | Preferred Provider Organization | 6205 Viola Lane, New Port Richey, FL 34653 | 2013-12-13 |
| Find all providers in zip 34653 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407107428 | David M Allen Dpm Pa | Podiatrist | 5155 Deer Park Dr Unit A-2, New Port Richey, FL 34653 | 2012-10-01 |
| 1992953186 | Larry J. Kipp Dpm Pa | Podiatrist | 8101 State Road 54, New Port Richey, FL 34655-3000 | 2008-09-03 |
| 1851389472 | James V Stelnicki | Podiatrist | 6543 Madison St, New Port Richey, FL 34652-1926 | 2005-10-07 |
| 1386098226 | Foot and Ankle Medical Center, Pllc | Podiatrist | 5141 Deer Park Dr Ste 1c, New Port Richey, FL 34653 | 2016-04-18 |
| 1679867428 | Omair Zafar | Podiatrist | 6543 Madison St, New Port Richey, FL 34652-1926 | 2011-06-08 |
| 1780854877 | James V Stelnicki Dpm Pa | Podiatrist | 6543 Madison St, New Port Richey, FL 34652-1926 | 2008-03-05 |
| 1043353220 | Ira Bennett Dpm Pa | Podiatrist | 1810 Wellness Ln, New Port Richey, FL 34655-5357 | 2007-02-15 |
| 1770699738 | Larry J Kipp | Podiatrist | 5145 Deer Park Dr, New Port Richey, FL 34653-7013 | 2006-08-22 |
| 1962499327 | Ira Bennett | Podiatrist | 1810 Wellness Ln, New Port Richey, FL 34655-5357 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34653 |
Please comment or provide details below to improve the information on LARRY J. KIPP DPM, PA.
| 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.