Provider Demographics
NPI:1760002497
Name:PIPPEN HEALTH OF DELAWARE, PA
Entity Type:Organization
Organization Name:PIPPEN HEALTH OF DELAWARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDGEON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:425-306-0834
Mailing Address - Street 1:1023 SPRINGDALE RD STE 13A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-2465
Mailing Address - Country:US
Mailing Address - Phone:512-270-0190
Mailing Address - Fax:
Practice Address - Street 1:1023 SPRINGDALE RD STE 13A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78721-2465
Practice Address - Country:US
Practice Address - Phone:512-270-0190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty