Basic Information
| Provider Information | |||||||||
| NPI: | 1780659789 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIPSKIS | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 BUSINESS PARK DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234626535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7579621083 | ||||||||
| FaxNumber: | 7579621254 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 KINGSLEY LN | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235054604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7578895351 | ||||||||
| FaxNumber: | 7574890781 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2006 | ||||||||
| LastUpdateDate: | 03/12/2009 | ||||||||
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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 | 207RC0000X | 0101035298 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | PAR | 01 | MULTIPLAN | OTHER | 006040721 | 05 | VA | MEDICAID | PAR | 01 | VIRGINIA PREMIER HEALTH | OTHER | -001 | 01 | TRICARE/CHAMPUS | OTHER | 011576 | 01 | VA | ANTHEM BC/BS | OTHER | 7906158 | 05 | NC | MEDICAID | PAR | 01 | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | OTHER | 06158 | 01 | NC | BC/BS NC | OTHER | 263654 | 01 | VA | UHC/MAMSI/MDIPA | OTHER | PAR | 01 | CORVEL/CORCARE | OTHER | 15088 | 01 | VA | OPTIMA HEALTH PLAN | OTHER | PAR | 01 | AETNA | OTHER | 249499 | 01 | VA | MAMSI | OTHER | PAR | 01 | VIRGINIA HEALTH NETWORK | OTHER | PAR | 01 | USA MANAGED CARE | OTHER | 15792 | 01 | VA | SENTARA OHP/SHP | OTHER | 006041108 | 05 | VA | MEDICAID | 250374 | 01 | VA | ATHEM BC/BS VA/HK | OTHER | PAR | 01 | CIGNA | OTHER |