Provider Demographics
NPI:1972507838
Name:HOWARD, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HOWARD
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 1:7815 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4207
Mailing Address - Country:US
Mailing Address - Phone:513-388-4001
Mailing Address - Fax:513-388-4013
Practice Address - Street 1:7815 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4207
Practice Address - Country:US
Practice Address - Phone:513-388-4001
Practice Address - Fax:513-388-4013
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.045808207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64784192Medicaid
OH0561664Medicaid
KY64784192Medicaid
OHC02403Medicare UPIN
OH0792595Medicare PIN