DAVID L WAXMAN (NPI# 1174563092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174563092 |
| Entity Type | Individual |
| Full Name | DAVID L WAXMAN |
| Credential | MD |
| Practice Address |
527 Medical Park Dr Ste 400 Bridgeport WV 26330-9010 |
| Practice Telephone | 6813423550 |
| Practice Fax Number | 6813423507 |
| Mailing Telephone | 6813423550 |
| Mailing Fax Number | 6813423507 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 14240 | WV | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
14240 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0097123000 | 05 | |
| RAILROAD MEDICARE | 200004627 | 01 | |
| BLUE CROSS | 001720802 | 01 | |
| HEALTH PLAN OHIO VALLEY | WV14240B | 01 | |
| WV | MEDICARE PTAN | WV2679A | 01 |
| UMWA | 1362317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932284866 | David Waxman | Psychologist | 2201 Hempstead Turnpike, Nassau University Medical Center, East Meadow, NY 11554 | 2006-10-26 |
| Street Address |
527 MEDICAL PARK DR STE 400 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184677817 | William Carlton Doukas | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2006-05-17 |
| 1740552561 | Stephen Michael Sweeney | Physician Assistant | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2012-02-09 |
| 1548560071 | William Ortan Nelson | Physician Assistant | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2010-11-01 |
| 1023240082 | Amber Kayla Cochran | Nurse Practitioner | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2009-08-10 |
| 1841427937 | Justin Michael Brewer | Physician Assistant | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2009-06-16 |
| 1063655470 | Joshua Bengtson Sykes | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2009-04-14 |
| 1578711552 | Christopher Don Courtney | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2008-09-03 |
| 1336307941 | Joseph J Fazalare | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2008-05-30 |
| 1164608121 | Peter J Alasky | Family Medicine | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2008-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578711552 | Christopher Don Courtney | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145435 | Curtis Kevin Grant | Orthopaedic Surgery | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2019-07-02 |
| 1316171580 | Matthew Wayne Bullock | Orthopaedic Surgery | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2009-05-04 |
| 1891705521 | Brian R Hamlin | Orthopaedic Surgery | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-08-08 |
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on DAVID L WAXMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.