Basic Information
Provider Information
NPI: 1457613838
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAPRZYCKI
FirstName: CHRISTOPHER
MiddleName: MICHAEL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 237 WILLIAM HOWARD TAFT
Address2: 2ND FLOOR, CBO 2-3
City: CINCINNATI
State: OH
PostalCode: 45219
CountryCode: US
TelephoneNumber: 5135410700
FaxNumber: 5135412530
Practice Location
Address1: 2123 AUBURN AVE STE 139
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192906
CountryCode: US
TelephoneNumber: 5135410700
FaxNumber: 5135412530
Other Information
ProviderEnumerationDate: 06/12/2012
LastUpdateDate: 10/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X OHN Student, Health CareStudent in an Organized Health Care Education/Training Program 
2086S0129X35130960OHY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery

No ID Information.


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