MEDICARE: ANTHONY J PIPITONE D.O.

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	34-002990	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00000026967	OTHER	OH	ANTHEM PROVIDER NUMBER

General Provider Information

NPI Number	:	1912918095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J PIPITONE D.O.

Provider Business Mailing Address
First Line	:	7453 LASCALA DR
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-1846
Country	:	US
Telephone Number	:	330-650-2785
Fax Number	:

Provider Business Practice Location Address
First Line	:	15900 SNOW RD
Second Line	:
City	:	BROOKPARK
State	:	OH
Zip	:	44142-2859
Country	:	US
Telephone Number	:	216-925-0608
Fax Number	:

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	01/14/2021

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