MEDICARE: DAVID EDWARD PIKE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	34.012274	OH
2	207P00000X	Emergency Medicine Physician	02003942A	IN
3	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417268608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID EDWARD PIKE D.O.

Provider Business Mailing Address
First Line	:	395 WESTFIELD RD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1434
Country	:	US
Telephone Number	:	317-776-7250
Fax Number	:	317-776-7255

Provider Business Practice Location Address
First Line	:	395 WESTFIELD RD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1434
Country	:	US
Telephone Number	:	317-776-7250
Fax Number	:	317-776-7255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	10/01/2025

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