Provider Demographics
NPI:1144298639
Name:TAPPEL, EDWARD FRANCIS (DO)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:FRANCIS
Last Name:TAPPEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:614-533-6553
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:3363 TREMONT RD STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2127
Practice Address - Country:US
Practice Address - Phone:614-788-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.004984207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0793520Medicaid
OHP00877472OtherRRMCR
OH000000678792OtherANTHEM
OH0793520Medicaid
OH000000699793OtherANTHEM
OH0688105Medicare ID - Type Unspecified
WV0053781000Medicaid
OH0688102Medicare PIN
OHP00877472OtherRRMCR
OH0793520Medicaid