David Provaznik (NPI# 1245267624, PAC ID# 8729080684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360008 | SOUTHERN OHIO MEDICAL CENTER |
360361 | KINGS DAUGHTERS MEDICAL CENTER OHIO |
180009 | KING'S DAUGHTERS' MEDICAL CENTER |
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 Legal Name | DAVID G PROVAZNIK DO INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hillard Patrick Brown | Nurse Practitioner | David G Provaznik Do Inc | 10098 Big Bear Creek Rd, Lucasville, OH 45648-9168 |
Street Address |
1805 27TH ST |
City | PORTSMOUTH |
State | OH |
Zip | 45662-2640 |
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 |
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 |
City | PORTSMOUTH |
Zip Code | 45662 |
Specialty | FAMILY MEDICINE |
City + Specialty | PORTSMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David Provaznik.
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.