Provider Demographics
NPI:1740200419
Name:KIRSCHMAN, DAVID LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LOUIS
Last Name:KIRSCHMAN
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 1:30 E APPLE ST
Mailing Address - Street 2:SUITE 6254
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2939
Mailing Address - Country:US
Mailing Address - Phone:937-208-2088
Mailing Address - Fax:937-208-2898
Practice Address - Street 1:30 E APPLE ST
Practice Address - Street 2:SUITE 6254
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2939
Practice Address - Country:US
Practice Address - Phone:937-208-2088
Practice Address - Fax:937-208-2898
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081059207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2313937Medicaid
OH2313937Medicaid
OH4073994Medicare ID - Type Unspecified
OHH58838Medicare UPIN
OH4073992Medicare ID - Type Unspecified
OH4073993Medicare ID - Type Unspecified