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Individual

JOSEPH P. LIPUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
35-038720
OH
207UN0901X
Nuclear Cardiology Physician
35-038720
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35-038720
OH
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
35-038720
OH
2085B0100X
Body Imaging Physician
35-038720
OH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
35-038720
OH
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
35-038720
OH
2085N0700X
Neuroradiology Physician
35-038720
OH
2085N0904X
Nuclear Radiology Physician
35-038720
OH
2085P0229X
Pediatric Radiology Physician
35-038720
OH
2085R0001X
Radiation Oncology Physician
35-038720
OH
2085R0202X
Diagnostic Radiology Physician
35-038720
OH
2085R0203X
Therapeutic Radiology Physician
35-038720
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35-038720
OH
2085U0001X
Diagnostic Ultrasound Physician
35-038720
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000217477
UNISON
OH
01
000000503609
ANTHEM
OH
01
0304914
BCMH
OH
05
0579155
OH
05
1710911797
MI
01
363771
WELLCARE
OH
01
3810011871
WV MEDICAID
WV
01
4007560
AETNA
OH
01
750851
BUCKEYE
OH
01
P00412486
RAILROAD MEDICARE
OH
Enumeration date
07/10/2006
Last updated
10/02/2012
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