Provider Demographics
NPI:1477514594
Name:LIPMAN, RODNEY C (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:C
Last Name:LIPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 CENTRE AVE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3721
Mailing Address - Country:US
Mailing Address - Phone:412-924-1100
Mailing Address - Fax:412-924-1111
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-469-7788
Practice Address - Fax:412-469-1905
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023576E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA060023879OtherRAILROAD MEDICARE
PA143909OtherHIGHMARK
PA0006711860006Medicaid
PAC31703Medicare UPIN
PA143909OtherHIGHMARK