Provider Demographics
NPI:1245210806
Name:TAPTYKOFF, MICHAEL S (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:TAPTYKOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1609 WOODBOURNE RD STE 101
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057
Practice Address - Country:US
Practice Address - Phone:215-945-1500
Practice Address - Fax:215-945-9192
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS004899L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1048999OtherCIGNA PA
PA15948OtherUMWA
PA30080579OtherKEYSTONE FIRST
PA080127669OtherMEDICARE TRAVELERS
PA2Y1929OtherHEALTHNET
PA426353OtherHIGHMARK BLUE SHIELD
PA0022680000OtherKEYSTONE EAST
PR118864300OtherU.S. DEPT. OF LABOR
PAD26353OtherAMERIHEALTH
PAP00926829OtherRAILROAD MEDICARE
PA1048999002OtherCIGNA
PA0008995350003Medicaid
PA5723198OtherG.H.I.
PA96497OtherOPERATORS 825 WELFARE
PA4206771OtherAETNA PPO
PAP417835OtherOXFORD
PAD26353OtherAMERIHEALTH
PA5723198OtherG.H.I.