MATTHEW KIPPE (NPI# 1841491396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841491396 |
| Entity Type | Individual |
| Full Name | MATTHEW KIPPE |
| Credential | MD |
| Practice Address |
531 Faunce Corner Rd Dartmouth MA 02747-1242 |
| Practice Telephone | 5089963991 |
| Practice Fax Number | 5089903218 |
| Mailing Telephone | 5089963991 |
| Mailing Fax Number | 5089903218 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
231362 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
531 FAUNCE CORNER RD |
| City | DARTMOUTH |
| State | MA |
| Zip Code | 02747-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619928 | Jeffrey J Michaud | Obstetrics & Gynecology | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2005-06-16 |
| 1811505399 | Melinda Jeanette-may Pigeon | Physician Assistant | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2020-07-21 |
| 1043866999 | Stephanie Grace Souza | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-08-16 |
| 1114572153 | Jaimie Cordeiro | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-08-06 |
| 1194385658 | Jennifer Lee Jackman | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-06-17 |
| 1033614524 | Molly O'brien | Physician Assistant | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2018-03-27 |
| 1770081333 | Rebecca A Moreira | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2018-01-30 |
| 1265944227 | Courtney R Neves | Physician Assistant | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-10-31 |
| 1649780909 | Kelsey L. Ceven | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-10-01 |
| 1093240350 | Tracy Feitor | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1154805281 | Jonathan Vandale | Orthopaedic Surgery | 60 Fenwood Rd Fl 2, Boston, MA 02115-6128 | 2018-09-25 |
| 1073023339 | Lauren Elizabeth Bruno | Orthopaedic Surgery | 200 Providence Hwy Ste 200, Dedham, MA 02026-1881 | 2017-10-02 |
| 1386022218 | Mark Pohlman | Orthopaedic Surgery | 165 Converse St, Unit #9, Longmeadow, MA 01106-1711 | 2015-05-12 |
| 1851710487 | Evan Alexander O'donnell | Orthopaedic Surgery | 55 Fruit Street, Yaw3-3561, Boston, MA 02114 | 2014-04-10 |
| 1588869168 | Matthew J Salzler | Orthopaedic Surgery | 800 Washington St # 306, Boston, MA 02111-1552 | 2007-06-15 |
| 1497891030 | Laurie M Katz | Orthopaedic Surgery | 2000 Washington St, #341, Newton Wellesley Orthopedic Assoc., Inc, Newton, MA 02462-1602 | 2007-01-30 |
| 1386691087 | Richard R Renaud | Orthopaedic Surgery | 54 Mary Lou Ct, Raynham, MA 02767-5253 | 2006-05-28 |
| 1194791186 | William A Mitchell Jr. | Orthopaedic Surgery | 65 Walnut St Ste 440, Wellesley, MA 02481-2196 | 2006-02-28 |
| 1457339491 | Thomas J. Gill Iv | Orthopaedic Surgery | 40 Allied Dr, Dedham, MA 02026-6146 | 2006-01-09 |
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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.