David Provaznik
DAVID G PROVAZNIK DO INC


Address: 1805 27th St, Portsmouth, OH 45662-2640
Phone: 7403565000

David Provaznik (NPI# 1245267624, PAC ID# 8729080684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1245267624
PAC ID by PECOS 8729080684
Professional Enrollment ID I20091230000638
Full Name David Provaznik
Organization Legal Name DAVID G PROVAZNIK DO INC
Address 1805 27th St
Portsmouth
OH 45662-2640
Phone Number 7403565000
Gender M
Medical School KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1987
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3971536244
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360008 SOUTHERN OHIO MEDICAL CENTER
360361 KINGS DAUGHTERS MEDICAL CENTER OHIO
180009 KING'S DAUGHTERS' MEDICAL CENTER

Other Locations

Address Phone Organization
1805 27th St, Portsmouth, OH 45662-2640 7403565000 DAVID G PROVAZNIK DO INC
1901 Argonne Rd, Portsmouth, OH 45662-2827 7403531978 KINGS DAUGHTERS MEDICAL SPECIALTIES INC
11826 Gallia Pike Rd A, Wheelersburg, OH 45694-9119 7405744526 KINGS DAUGHTERS MEDICAL SPECIALTIES INC
1242 Crescent Dr, Wheelersburg, OH 45694-9376 7405748441 DAVID G PROVAZNIK DO INC
1242 Crescent Dr, Wheelersburg, OH 45694-9376 KINGS DAUGHTERS MEDICAL SPECIALTIES INC

Organization Information

Organization Legal Name DAVID G PROVAZNIK DO INC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Hillard Patrick Brown Nurse Practitioner David G Provaznik Do Inc 10098 Big Bear Creek Rd, Lucasville, OH 45648-9168

Office Location

Street Address 1805 27TH ST
City PORTSMOUTH
State OH
Zip 45662-2640

Physicians in the same location

Name Specialty Organization Address
Dalkeith F Tucker Emergency Medicine Epmg of Ohio Inc Pa 1805 27th St, Portsmouth, OH 45662-2640
Shayna B Tomchin Pathology Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Loretta A Settonni Diagnostic Radiology Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Adam A Wilson Certified Registered Nurse Anesthetist (crna) Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Jessica S Suber Plastic and Reconstructive Surgery Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Dustin L Johnson Diagnostic Radiology Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Michael L Purdy Nurse Practitioner Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Adam D Evans Interventional Radiology Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Praveena Coimbatore Hospitalist Apogee Medical Group Ohio Inc 1805 27th St, Portsmouth, OH 45662-2640
Jami Michelle Lyon Diagnostic Radiology Somc Medical Care Foundation, Inc. 1805 27th St, Portsmouth, OH 45662-2640
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Paul S Cwikla Podiatry 1605 E Eleventh St, Portsmouth, OH 45662
David K Byers Infectious Disease Somc Medical Care Foundation, Inc. 1729 27th St, Portsmouth, OH 45662-2638
Ryan F Sandlin Obstetrics/gynecology Somc Medical Care Foundation, Inc. 1729 27th St, Portsmouth, OH 45662-2638
Zachary Harr Physician Assistant Somc Medical Care Foundation, Inc. 1729 27th St, Portsmouth, OH 45662-2638
Reena Samuel Nephrology Southern Ohio Nephrology, Inc. 1711 27th St, Portsmouth, OH 45662-2638
Ernesto Espe Banalagay Nephrology Southern Ohio Nephrology, Inc. 1711 27th St, Portsmouth, OH 45662-2638
Tiffany L Harris Certified Nurse Midwife (cnm) Somc Medical Care Foundation, Inc. 1729 27th St, Portsmouth, OH 45662-2638
Joseph W Herrmann Vascular Surgery Somc Medical Care Foundation, Inc. 1729 27th St, Portsmouth, OH 45662-2638
Phillip D Roberts Family Medicine Somc Medical Care Foundation, Inc. 1729 27th St, Portsmouth, OH 45662-2638
Jeffrey E Parker General Surgery Somc Medical Care Foundation, Inc. 1729 27th St, Portsmouth, OH 45662-2638
Find all physicians in zip 45662

Competitor

Search similar physicians

City PORTSMOUTH
Zip Code 45662
Specialty FAMILY MEDICINE
City + Specialty PORTSMOUTH + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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