David L Waxman in Bridgeport - Adult Reconstructive Orthopaedic Surgery
David L Waxman - NPI 1174563092
David L Waxman is a Adult Reconstructive Orthopaedic Surgery in Bridgeport, . David L Waxman practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for David L Waxman is 1174563092. The last update date is 2022-04-05.
David L Waxman's current location address is 527 Medical Park Dr Ste 400, Bridgeport, . You can contact this provider via phone number 6813423550 and fax number 6813423507. The mailing address for David L Waxman is 527 Medical Park Dr Ste 400, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | David L Waxman |
|---|---|
| Address | 527 Medical Park Dr Ste 400, Bridgeport, |
| Phone Number | 6813423550 |
| Fax Number | 6813423507 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174563092 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 527 Medical Park Dr Ste 400 |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 263309010 |
| Phone Number | 6813423550 |
| Fax Number | 6813423507 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 14240 |
|
Definition: 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, arthrosc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WV2679A | WV | MEDICARE PTAN | |
| 97123000 | WV | -- | |
| 1362317 | UMWA | ||
| 200004627 | RAILROAD MEDICARE | ||
| 1720802 | BLUE CROSS | ||
| WV14240B | HEALTH PLAN OHIO VALLEY |
Post Comment/ Review Below
What is the David L Waxman's unique identification number?
The David L Waxman has been assigned the NPI (National Provider Identifier) Number 1174563092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where David L Waxman is located?
The David L Waxman is situated at the following address: 527 Medical Park Dr Ste 400, Bridgeport, WV, 263309010.
What is the David L Waxman's specialty and taxonomy code?
The David L Waxman's specialty is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code is 207Xs0114X.
On what date did the David L Waxman receive its 1174563092 assignment from the Centers for Medicare & Medicaid Services?
The David L Waxman was assigned its 1174563092 by the Centers for Medicare & Medicaid Services on 2006-06-08.
When was the information pertaining to David L Waxman most recently updated or revised?
The details related to David L Waxman, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-05.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH