MEDICARE: DAVID L WAXMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	14240	WV
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	14240	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	WV2679A	OTHER	WV	MEDICARE PTAN
4	200004627	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1362317	OTHER	UMWA
5	001720802	OTHER	BLUE CROSS
6	WV14240B	OTHER	HEALTH PLAN OHIO VALLEY

General Provider Information

NPI Number	:	1174563092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L WAXMAN MD

Provider Business Mailing Address
First Line	:	527 MEDICAL PARK DR STE 400
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-9010
Country	:	US
Telephone Number	:	681-342-3550
Fax Number	:	681-342-3507

Provider Business Practice Location Address
First Line	:	527 MEDICAL PARK DR STE 400
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-9010
Country	:	US
Telephone Number	:	681-342-3550
Fax Number	:	681-342-3507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/05/2022

Similar Medicare Providers

1144162520 — NABEELA FATIMA
Practice Location Address:

527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV
26330-9010

Practice Phone: 681-342-3600
Practice Fax:

1134101660 — UNITED HOSPITAL CENTER INC
Practice Location Address:

527 MEDICAL PARK DR , SUITE 500
BRIDGEPORT, WV
26330-9010

Practice Phone: 681-342-3600
Practice Fax: 681-342-3625

1386627743 — DR. ERIC J RADCLIFFE MD
Practice Location Address:

527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV
26330-9010

Practice Phone: 681-342-3600
Practice Fax: 681-342-3625

1114980406 — CRYSTAL A. DE WIT DO
Practice Location Address:

527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV
26330-9010

Practice Phone: 681-342-3600
Practice Fax:

1053374751 — NABEEL GHABRA MD
Practice Location Address:

527 MEDICAL PARK DR STE 402
BRIDGEPORT, WV
26330-9010

Practice Phone: 681-342-3690
Practice Fax: 681-342-3695

1568498277 — MRS. SUZANNE WHITNEY COURTNEY MD
Practice Location Address:

527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV
26330-9010

Practice Phone: 681-342-3600
Practice Fax: 681-342-3625

Directions to “ DAVID L WAXMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.