Provider Demographics
NPI:1639183551
Name:FRIMER, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:FRIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 COMPTON ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216
Mailing Address - Country:US
Mailing Address - Phone:513-761-2776
Mailing Address - Fax:513-679-4866
Practice Address - Street 1:24 COMPTON ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216
Practice Address - Country:US
Practice Address - Phone:513-761-2776
Practice Address - Fax:513-679-4866
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35043933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0407698Medicaid
A79013Medicare UPIN
OHFR0468483Medicare PIN