Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Gerard Provaznik, DO

Individual provider Family Medicine Physician · NPI 1245267624

Dr. David Gerard Provaznik, DO is a Family Practice in Wheelersburg, Ohio. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1987, 39 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
39
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
OH
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11826 Gallia Pike Ste A
Wheelersburg, OH 45694-9119
Phone: (740) 574-4526
Fax: (740) 574-2895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34005337 (OH)

Record details

NPI number1245267624
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESFebruary 12, 2014
Mailing addressPo Box 2379, Ashland, KY 41105-2379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1987 (39 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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