Basic Information
| Provider Information | |||||||||
| NPI: | 1245210806 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TAPTYKOFF | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 UNIVERSITY DR | ||||||||
| Address2: | |||||||||
| City: | NEWTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189401873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157105522 | ||||||||
| FaxNumber: | 2157105181 | ||||||||
| Practice Location | |||||||||
| Address1: | 1609 WOODBOURNE RD STE 101 | ||||||||
| Address2: | |||||||||
| City: | LEVITTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159451500 | ||||||||
| FaxNumber: | 2159459192 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2006 | ||||||||
| LastUpdateDate: | 05/20/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS004899L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1048999 | 01 | PA | CIGNA PA | OTHER | 15948 | 01 | PA | UMWA | OTHER | 30080579 | 01 | PA | KEYSTONE FIRST | OTHER | 080127669 | 01 | PA | MEDICARE TRAVELERS | OTHER | 2Y1929 | 01 | PA | HEALTHNET | OTHER | 426353 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 0022680000 | 01 | PA | KEYSTONE EAST | OTHER | 118864300 | 01 | PR | U.S. DEPT. OF LABOR | OTHER | D26353 | 01 | PA | AMERIHEALTH | OTHER | P00926829 | 01 | PA | RAILROAD MEDICARE | OTHER | 1048999002 | 01 | PA | CIGNA | OTHER | 0008995350003 | 05 | PA | MEDICAID | 5723198 | 01 | PA | G.H.I. | OTHER | 96497 | 01 | PA | OPERATORS 825 WELFARE | OTHER | 4206771 | 01 | PA | AETNA PPO | OTHER | P417835 | 01 | PA | OXFORD | OTHER |