| Trent Edward Tipple, MD | |
|
555 S 18th St, Columbus, OH 43205-2654 | |
| (614) 722-4559 | |
| (614) 722-4541 |
| Full Name | Trent Edward Tipple |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 555 S 18th St, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578524054 | NPI | - | NPPES |
| 2411625 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35080664 (Ohio) | Primary |
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Edward Tipple, MD 555 S 18th St, Columbus, OH 43205-2654 Ph: (614) 722-4559 | Trent Edward Tipple, MD 555 S 18th St, Columbus, OH 43205-2654 Ph: (614) 722-4559 |
Amrik Singh Khalsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 Fax: 614-722-4966 | |
Sara Foley Schroder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2857 W Broad St, Columbus, OH 43204 Phone: 614-722-6200 | |
Mr. Christopher Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 | |
Claire Elizabeth Christian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 | |
Valentina Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80 E Rich St Apt 819, Columbus, OH 43215 Phone: 380-242-1699 | |
Logan Neely, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-772-4419 | |
Leif Daniel Nelin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-4559 Fax: 614-722-4541 |