Basic Information
| Provider Information | |||||||||
| NPI: | 1437244290 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLIPPEN | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | WHEELER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | III | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 S JACKSON HWY | ||||||||
| Address2: | SUITE 259 | ||||||||
| City: | SHEFFIELD | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567662600 | ||||||||
| FaxNumber: | 2563811251 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 S JACKSON HWY | ||||||||
| Address2: | SUITE 259 | ||||||||
| City: | SHEFFIELD | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567185900 | ||||||||
| FaxNumber: | 2567185918 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 05/28/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | 3020 | AL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 009941503 | 05 | AL | MEDICAID | 515 38992 | 01 | AL | BCBS | OTHER | 051559120 | 01 | AL | MEDICARE | OTHER |