Healthcare Provider Details

I. General information

NPI: 1205850518
Provider Name (Legal Business Name): DAVID K. ZIPFEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10506 MONTGOMERY ROAD SUITE 101
CINCINNATI OH
45242
US

IV. Provider business mailing address

10506 MONTGOMERY ROAD SUITE 101
CINCINNATI OH
45242-4499
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-1171
  • Fax: 513-793-6490
Mailing address:
  • Phone: 513-793-1171
  • Fax: 513-793-6490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number030354
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number030354
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number030354
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: