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DAVID G PROVAZNIK DO INC
NPI 1780799775
Family Medicine in Wheelersburg, OH

Active since August 20, 2006
11826 GALLIA PIKE RD, SUITE A, WHEELERSBURG, OH 45694(740) 574-4526(740) 574-2895 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David G Provaznik Do Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID G PROVAZNIK DO INC (NPI 1780799775) is a healthcare organization registered as a family medicine in Wheelersburg, Ohio and active in the NPI registry since August 2006. The organization lists David Gerard Provaznik, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1780799775
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID G PROVAZNIK DO INC
Location Address11826 GALLIA PIKE RD, SUITE AWheelersburg, OH 45694-9119
Mailing Address11826 Gallia Pike Rd, Suite AWheelersburg, OH 45694-9119 · (740) 574-4526 · Fax (740) 574-2895
Phone(740) 574-4526
Fax(740) 574-2895
Organization SubpartNo
Authorized OfficialDavid Gerard ProvaznikPresident/ceo · (740) 574-4526
Enumeration DateAugust 20, 2006
Last NPPES UpdateMay 18, 2010
✔ NPI 1780799775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34005337
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11826 GALLIA PIKE RD, Wheelersburg, OH 45694
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Other Identifiers 3

Medicaid0965915OH
Medicare UPINE12727OH
Medicare PIN0709963OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David G Provaznik Do Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David G Provaznik Do Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Provaznik, DO
Family Practice
NPI 1245267624
11826 GALLIA PIKE SUITE A
Wheelersburg, OH 45694
(740) 574-4526
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David G Provaznik Do Inc's NPI number?

The NPI number for David G Provaznik Do Inc is 1780799775. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is David G Provaznik Do Inc located?

David G Provaznik Do Inc is located at 11826 Gallia Pike Rd Suite A, Wheelersburg, OH 45694. The listed phone number is (740) 574-4526.

What is David G Provaznik Do Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David G Provaznik Do Inc enrolled in Medicare?

Yes. David G Provaznik Do Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David G Provaznik Do Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to David G Provaznik Do Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David G Provaznik Do Inc was last updated on May 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.