Provider Demographics
NPI:1104811066
Name:KAPPEL, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:KAPPEL
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 1:40 MEDICAL PARK
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6392
Mailing Address - Country:US
Mailing Address - Phone:304-242-0590
Mailing Address - Fax:304-242-9740
Practice Address - Street 1:40 MEDICAL PARK
Practice Address - Street 2:SUITE 200
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6392
Practice Address - Country:US
Practice Address - Phone:304-242-0590
Practice Address - Fax:304-242-9740
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV109512082S0105X, 2086S0122X
OH350473792082S0105X
OH35043792086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0353666Medicaid
WV0114169000Medicaid
10951OtherHMO
A72676Medicare UPIN
WV240001435Medicare PIN
10951OtherHMO
OH0424665Medicare ID - Type Unspecified
OH0353666Medicaid