Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 030354 | OH |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 030354 | OH |
N | 2086S0122X | Plastic and Reconstructive Surgery | 030354 | OH |
NPI | 1205850518 |
---|---|
Provider Name | Dr. David K. Zipfel |
First Address | Cincinnati, OH 45242-4499 |
Second Address | Cincinnati, OH 45242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000007057 | ANTHEM (01) | OH |
0267063 | (05) | OH |
30354 | CHOICE CARE (01) | OH |
A73474 | (02) | OH |