DR. DAVID PROVENZANO (NPI# 1790796233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790796233 |
| Entity Type | Individual |
| Full Name | DR. DAVID PROVENZANO |
| Credential | MD |
| Practice Address |
301 Ohio River Blvd Suite 203 Sewickley PA 15143-1300 |
| Mailing Address |
3056 Estate Dr Oakdale PA 15071-1081 |
| Practice Telephone | 4122217640 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 12812 | NH | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
12812 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
301 OHIO RIVER BLVD SUITE 203 |
| City | SEWICKLEY |
| State | PA |
| Zip Code | 15143-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659343101 | Ent & Allergy Specialists of Western Pa, P.C. | Otolaryngology | 301 Ohio River Blvd, Ste 202, Edgeworth Medical Commons, Sewickley, PA 15143 | 2006-02-07 |
| 1740608090 | Allegheny Clinic | Obstetrics & Gynecology | 301 Ohio River Blvd, Suite 301, Sewickley, PA 15143-1300 | 2014-04-03 |
| 1013331982 | Elliott Powell Jr. | Registered Nurse | 301 Ohio River Blvd, Sewickley, PA 15143-1300 | 2014-02-12 |
| 1609298819 | L'lee Z Janicki | Physician Assistant | 301 Ohio River Blvd, Sewickley, PA 15143 | 2014-01-08 |
| 1548692031 | Pain Diagnostics & Interventional Care LLC | Anesthesiology | 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 | 2013-08-06 |
| 1568694537 | Noah P. Rahm | Psychologist | 301 Ohio River Blvd, Suite 304, Sewickley, PA 15143-1300 | 2009-08-10 |
| 1942451273 | M & T Ultrasound Inc | Anesthesiology | 301 Ohio River Blvd, Sewickley, PA 15143-1300 | 2008-10-06 |
| 1376714220 | James Barber, M.d. | Specialist | 301 Ohio River Blvd, Suite 204, Sewickley, PA 15143-1300 | 2008-03-19 |
| 1770602625 | Susan L Homitz | Audiologist | 301 Ohio River Blvd, Suite 202, Sewickley, PA 15143 | 2007-03-29 |
| 1780754895 | Thomas William Calhoun | Psychologist | 301 Ohio River Blvd, Ste 304, Sewickley, PA 15143 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679082713 | Annie Cares, Inc. | Case Management | 207 Timber Lane, Sewickley, PA 15143 | 2017-09-20 |
| 1083132617 | Andrew Wu | Specialist/Technologist | 1420 North Shevlin Court, Sewickley, PA 15143 | 2017-09-04 |
| 1619498706 | Marisa Lynn Ciamacca | Optometrist | 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143 | 2017-06-29 |
| 1730619644 | Eva Marie Haddad | Physician Assistant | 2100 Georgetowne Drive, Suite 400, Sewickley, PA 15143 | 2017-06-13 |
| 1376098129 | Stephanie Harkins | Chiropractor | 1 Ohio River Blvd, Sewickley, PA 15143 | 2016-08-22 |
| 1710339692 | Kara Lynn Varga | Optometrist | 400 Broad Street Suite 2020, Sewickley, PA 15143 | 2016-07-05 |
| 1265890511 | Stacy Moon | Chiropractor | 2605 Nicholson Road, Building 3, Suite 120, Sewickley, PA 15143 | 2016-02-02 |
| 1003286857 | John Robert Utberg | Obstetrics & Gynecology | 210 Alagua Dr., Sewickley, PA 15143 | 2015-10-05 |
| 1588043434 | Simmons Chiropractic & Wellness | Chiropractor | 2425 Rochester Rd, Sewickley, PA 15143 | 2015-05-26 |
| 1316346042 | Lauri Lang | Dietitian, Registered | 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 | 2014-08-19 |
| Find all providers in zip 15143 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548692031 | Pain Diagnostics & Interventional Care LLC | Anesthesiology | 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
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| 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.