Healthcare Provider Details

I. General information

NPI: 1114709052
Provider Name (Legal Business Name): MR. DAVID ZILKA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MOFFETT RUN RD
ALIQUIPPA PA
15001-9199
US

IV. Provider business mailing address

311 ROUSER RD
MOON TOWNSHIP PA
15108-6801
US

V. Phone/Fax

Practice location:
  • Phone: 724-250-9786
  • Fax:
Mailing address:
  • Phone: 412-604-8910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028451
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN718163
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: