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

Dr. David Provaznik Jr., DO

Individual provider Psychiatry Physician · NPI 1982099941

Dr. David Provaznik Jr., DO is a Psychiatry in Dayton, Ohio. Qualified in 2015, 11 years ago. Practices with Otero County Hospital Association, a 241-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
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

627 S Edwin C Moses Blvd East Medical Plaza 1st Fl
Dayton, OH 45417-3461
Phone: (937) 223-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence XXXXXXXXXX (OH)

Record details

NPI number1982099941
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2015
Last updated in NPPESApril 6, 2015

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Otero County Hospital Association — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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