Individual
RICHARD THOMPSON GRIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(765) 762-4000
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01026247A
IN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
01026247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189254
ANTHEM PROVIDER NUMBER
IN
01
—
000000527215
ANTHEM
IN
05
—
100231540
—
IN
01
—
9397099
PHCS PID NUMBER
IN
05
—
GR80531020
—
IN
01
—
P00645962
RAILROAD MEDICARE
IN
Enumeration date
03/14/2006
Last updated
04/20/2017
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