Healthcare Provider Details
I. General information
NPI: 1033523253
Provider Name (Legal Business Name): DAVID EDWARD TAPKE MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2014
Last Update Date: 08/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7495 STATE RD STE 350
CINCINNATI OH
45255
US
IV. Provider business mailing address
7495 STATE RD STE 350
CINCINNATI OH
45255-6403
US
V. Phone/Fax
- Phone: 513-861-0222
- Fax: 513-231-0223
- Phone: 513-229-9121
- Fax: 513-231-0337
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0201X |
| Taxonomy | Pediatric Allergy/Immunology Physician |
| License Number | 35.132363 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | 35.132363 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: