Provider Demographics
NPI:1447264346
Name:TAPYRIK, NICHOLAS NMN (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:NMN
Last Name:TAPYRIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2427
Mailing Address - Country:US
Mailing Address - Phone:724-728-7820
Mailing Address - Fax:724-728-0586
Practice Address - Street 1:1425 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2427
Practice Address - Country:US
Practice Address - Phone:724-728-7820
Practice Address - Fax:724-728-0586
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023409E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0653240Medicaid
PA142585Medicare ID - Type Unspecified
PA0653240Medicaid