MEDICARE: DOUGLAS P BOSACK 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	207RC0000X	Cardiovascular Disease Physician	21789	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487658894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS P BOSACK MD

Provider Business Mailing Address
First Line	:	PO BOX 790
Second Line	:
City	:	WHITE SULPHUR SPRINGS
State	:	WV
Zip	:	24986-0790
Country	:	US
Telephone Number	:	304-536-5030
Fax Number	:	304-536-5031

Provider Business Practice Location Address
First Line	:	RR 2 BOX 171
Second Line	:
City	:	LEWISBURG
State	:	WV
Zip	:	24901-9318
Country	:	US
Telephone Number	:	304-345-9023
Fax Number	:	304-645-9025

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1710013081 — HAVEN N WALL JR MD INC
Practice Location Address:

RR 2 BOX 171C
LEWISBURG, WV
24901-9318

Practice Phone: 304-645-6083
Practice Fax:

1417153172 — GREENBRIER VMC LLC
Practice Location Address:

RR 2 BOX 171-C , GREYROCK PROFESSIONAL PARK
LEWISBURG, WV
24901-9318

Practice Phone: 304-793-2059
Practice Fax:

1235802638 — RANDALL STRAUSSER
Practice Location Address:

1 HOSPITAL DR
LEWISBURG, PA
17837-9318

Practice Phone: 570-522-2582
Practice Fax:

1992482145 — SAMANTHA ZLOTORZYNSKI MA, RDN, LDN
Practice Location Address:

1 HOSPITAL DR
LEWISBURG, PA
17837-9318

Practice Phone: 570-522-2067
Practice Fax:

1992708770 — GREENBRIER MEDICAL ARTS PHARMACY INC
Practice Location Address:

690 MAPLEWOOD AVE
LEWISBURG, WV
24901-9300

Practice Phone: 304-647-5121
Practice Fax: 304-647-5122

1912900614 — GREENBRIER MEDICAL ARTS PHARMACY, INC
Practice Location Address:

3558 JEFFERSON ST N STE 1
LEWISBURG, WV
24901-5730

Practice Phone: 304-647-1377
Practice Fax: 304-647-9772

Directions to “ DOUGLAS P BOSACK 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.