MEDICARE: DENNIS L PIPPENGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	01025686	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000342140	OTHER	IN	ANTHEM
2	Q0085179	OTHER	IN	SHO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760469936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS L PIPPENGER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 869
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46061-0869
Country	:	US
Telephone Number	:	317-770-6900
Fax Number	:	317-770-6911

Provider Business Practice Location Address
First Line	:	395 WESTFIELD RD
Second Line	:	SUITE B
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1425
Country	:	US
Telephone Number	:	317-776-9400
Fax Number	:	317-776-2192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	05/28/2009

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