Provider Demographics
NPI:1295797900
Name:CZIPERLE, DAVID J (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:CZIPERLE
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 1:2102 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-544-9400
Mailing Address - Fax:717-544-9401
Practice Address - Street 1:2102 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-544-9400
Practice Address - Fax:717-544-9401
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4654662086S0129X
IN1049098A208600000X, 208G00000X
WI3037720208G00000X
IL036080124208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
202172OtherURBANA
202172OtherROCKFORD
526620OtherCOOK GROUP
IL36080124Medicaid
344390OtherDUPAGE GROUP
202172OtherMOLINE
G28540Medicare UPIN
IL36080124Medicaid
526620OtherCOOK GROUP
ILL92886Medicare ID - Type Unspecified
ILL67320Medicare ID - Type Unspecified
202172OtherURBANA