David Paul Supinski Jr., P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

4881 Sugar Maple Dr.
ER/Sgoe
Wright Patterson AFB, OH 45433-0000

Phone

(937) 257-0770

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Washington Emergency Physicians Chartered

  • Specialist
  • Fort Washington, MD
  • NPI 1346389988
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1336207786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDOS- ER / SGOE",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR.",
            "address_2": "ER/SGOE",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454330000",
            "telephone_number": "937-257-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPINSKI",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Stewart, LD/CDE
• Daniel James Arthur Stone, PT, DPT
• James Gayle Stoufflet Jr., MPAS, PA-C
• David William Streeter, PHARMD
• Rian Suihkonen, DDS
• Majelle Elizabeth Susler, DDS
• Laura Louise Swanson, OD
• Gregory Bret Sweitzer, M.D.
• Matthew Robert Talarczyk, MD
• Bryan K Tallent, D.D.S.

• Medical Physician Assistant in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.