Provider Demographics
NPI:1376571596
Name:HARPER, DAVID JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAY
Last Name:HARPER
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 1:935 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1911
Mailing Address - Country:US
Mailing Address - Phone:513-831-5955
Mailing Address - Fax:513-831-5985
Practice Address - Street 1:935 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1911
Practice Address - Country:US
Practice Address - Phone:513-831-5955
Practice Address - Fax:513-831-5985
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35057938207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHA0656919Medicare ID - Type UnspecifiedDUCO KETTERING
OHE29115Medicare UPIN
OHHA0656918Medicare ID - Type UnspecifiedDUCO MIDDLETOWN
OHHA0897094Medicare ID - Type UnspecifiedDUCO FAIRBORN
OHHA0897092Medicare ID - Type UnspecifiedDUCO COLERAIN
OHHA0656916Medicare ID - Type UnspecifiedDUCO SPRINGDALE
OHHA0656917Medicare ID - Type UnspecifiedDUCO MILFORD
OHHA0897091Medicare ID - Type UnspecifiedDUCO DAYTON