Izola Bernadette David, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS006306L Issued in PA

Practice address

4148 Lancaster Ave
Philadelphia, PA 19104-1727

Phone

(215) 662-0119

Fax

(215) 662-5339

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: izola.david@direct.pcom.nextgenshare.com

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1447220769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 LANCASTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041727",
            "telephone_number": "215-662-0119",
            "fax_number": "215-662-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4148 LANCASTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041727",
            "telephone_number": "215-662-0119",
            "fax_number": "215-662-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "IZOLA",
        "middle_name": "BERNADETTE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS006306L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001132677",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "528237E7P",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea David, LPCMH
• Cyril David, CRNP
• Dan Decebal David, D.M.D
• Heather David, NURSE PRACTITIONER
• Ilana Yael David, PT
• Martine David, M.D,
• Michael Zdenek David, M. D.
• Shweta Pravinkumar David
• Theresa R David, CRNP
• Davideja LLC

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.