| Dr David Gerard Provaznik, DO | |
|
11826 Gallia Pike, Suite A, Wheelersburg, OH 45694-9119 | |
| (740) 574-4526 | |
| (740) 574-2895 |
| Full Name | Dr David Gerard Provaznik |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 11826 Gallia Pike, Wheelersburg, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245267624 | NPI | - | NPPES |
| 0842315 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34005337 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center Home Health Services | Portsmouth, OH | Home health agency |
| Chs Hospice & Palliative Care Services Llc | Mc connelsville, OH | Hospice |
| Somc Hospice | Portsmouth, OH | Hospice |
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Kings Daughters Medical Center Ohio | Portsmouth, OH | Hospital |
| Edgewood Manor Of Lucasville Ii | Lucasville, OH | Nursing home |
| Edgewood Manor Of Lucasville I | Lucasville, OH | Nursing home |
| Entity Name | David G Provaznik Do Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780799775 PECOS PAC ID: 3971536244 Enrollment ID: O20050916000287 |
| Entity Name | Kings Daughters Medical Specialties Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497083539 PECOS PAC ID: 6103968029 Enrollment ID: O20100114000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Gerard Provaznik, DO Po Box 2379, Ashland, KY 41105-2379 Ph: (740) 574-4526 | Dr David Gerard Provaznik, DO 11826 Gallia Pike, Suite A, Wheelersburg, OH 45694-9119 Ph: (740) 574-4526 |
Zachary Duane Underwood, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8991 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-716-7086 | |
Dr. J Humberto Hernandez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 Fax: 740-356-4180 | |
Mr. James Martin Mcginnis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8046 Ohio River Road, Suite A, Wheelersburg, OH 45694 Phone: 740-574-2042 Fax: 740-574-4932 | |
Jerod Walker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Dr. Kemmely Hernandez Hochstetler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 Fax: 740-356-4180 |