Provider Demographics
NPI:1225087513
Name:APPLEGATE, DAVID T II (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:T
Last Name:APPLEGATE
Suffix:II
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 HILTON CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4152
Mailing Address - Country:US
Mailing Address - Phone:614-647-2000
Mailing Address - Fax:
Practice Address - Street 1:4715 HILTON CORPORATE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4152
Practice Address - Country:US
Practice Address - Phone:614-647-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058625207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0773248Medicaid
OHE32443Medicare UPIN
OH4220391Medicare PIN
OH0658279Medicare PIN