Individual provider Active NPI

Donald Allen Tupper, DPM

  • Podiatrist
  • Coshocton, OH
National Provider Identifier
1457310419
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002145 Issued in OH
Practice address
1529 Walnut St
Coshocton, OH 43812-2250
Phone
(740) 622-8400
Fax
(740) 622-8437
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002145 OH Primary

Addresses

Primary practice location

1529 Walnut St
Coshocton, OH 43812-2250

Mailing address

PO Box 728
Coshocton, OH 43812-0728
Phone (740) 622-8400

Other identifiers 4

IdentifierTypeStateIssuer
P00260813OtherOHRAILROAD MEDICARE
557035MedicaidOH
31-1118753OtherOHFEDERAL TAX ID
000000118491OtherOHANTHEM / BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000689 OH Practitioner - Podiatry 9537283783 Practice locations: West Lafayette, OH; Coshocton, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 S Whitewoman St
Coshocton, OH 43812-1068
Phone (740) 622-1220

1529 Walnut St
Coshocton, OH 43812-2250
Phone (740) 622-8400

620 E Main St
West Lafayette, OH 43845-1267
Phone (740) 545-6355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of nail tissue978
Removal or shaving of skin growth264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2145OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1457310419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438120728",
            "telephone_number": "740-622-8400",
            "fax_number": "740-622-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 WALNUT ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122250",
            "telephone_number": "740-622-8400",
            "fax_number": "740-622-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPPER",
        "first_name": "DONALD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00260813",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557035",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "31-1118753",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM / BLUE CROSS",
            "identifier": "000000118491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.