DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1598703910

NPI Code Detail

MEDICARE: CALEB R LIPPMAN MD

MEDICARE: CALEB R LIPPMAN MD

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	207T00000X	Neurological Surgery Physician	C3796	KY
2	207T00000X	Neurological Surgery Physician	01059338A	IN
3	207T00000X	Neurological Surgery Physician	EMC0007225	MI
4	207T00000X	Neurological Surgery Physician	036110035	IL
5	207T00000X	Neurological Surgery Physician	MD216447	OR

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	129164100	OTHER	IN	INDIANA DEPT OF LABOR

General Provider Information

NPI Number	:	1598703910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALEB R LIPPMAN MD

Provider Business Mailing Address
First Line	:	1 FORD PL STE 3A
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-3450
Country	:	US
Telephone Number	:	800-653-6568
Fax Number	:	313-876-1305

Provider Business Practice Location Address
First Line	:	1201 E MICHIGAN AVE STE 240
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1855
Country	:	US
Telephone Number	:	517-205-1591
Fax Number	:	313-876-1305

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	06/08/2026

Similar Medicare Providers

1154391589 — BRYAN M PEREIRA M.D.
Practice Location Address:

1201 E MICHIGAN AVE STE 240
JACKSON, MI
49201-1855

Practice Phone: 517-205-1591
Practice Fax:

1689744302 — DR. EMILY STEWART STEVENS PSYD, MA
Practice Location Address:

1201 E MICHIGAN AVE STE 200
JACKSON, MI
49201-1855

Practice Phone: 517-204-4841
Practice Fax: 517-205-5956

1851597827 — MS. JOANNE MARIE HUSKE FNP-C
Practice Location Address:

1201 E MICHIGAN AVE STE 240
JACKSON, MI
49201-1855

Practice Phone: 517-205-1642
Practice Fax:

1225222946 — MICHELLE M GILLMORE NP
Practice Location Address:

1201 E MICHIGAN AVE STE 240
JACKSON, MI
49201-1855

Practice Phone: 517-205-1591
Practice Fax:

1851735831 — ALFREDO JOSE DAVALOS-BALDERAS M.D.
Practice Location Address:

1201 E MICHIGAN AVE STE 240
JACKSON, MI
49201-1855

Practice Phone: 517-205-7620
Practice Fax:

1407211428 — RADHIKA SOKHAL AGPCNP-C
Practice Location Address:

1201 E MICHIGAN AVE STE 240
JACKSON, MI
49201-1855

Practice Phone: 517-205-7620
Practice Fax: 517-205-7619

Directions to “ CALEB R LIPPMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.