Provider Demographics
NPI:1013939883
Name:DRIPCHAK, PHILIP O (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:O
Last Name:DRIPCHAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:8033 DIXIE HWY
Practice Address - Street 2:STE B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-1344
Practice Address - Country:US
Practice Address - Phone:502-449-6448
Practice Address - Fax:502-449-6455
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32284207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
000026447XOtherNOTC/HUMANA
106892OtherNOTC/SIHO
4748794OtherNOTC/CIGNA
50024279OtherNOTC/PHP
IN200964290Medicaid
3719526000OtherNOTC/PAD
000000620765OtherNOTC/ANTHEM
KY64322845Medicaid
P00761023OtherNOTC/RAILROAD
KY00533176Medicare PIN
000000620765OtherNOTC/ANTHEM
4748794OtherNOTC/CIGNA