Individual provider Active NPI

David Samuel Tager, M.D.

  • Orthopaedic Surgery Physician
  • Morgantown, WV
National Provider Identifier
1245526730
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27761 Issued in WV
Practice address
1 Medical Center Dr
Ruby Memorial Hospital
Morgantown, WV 26506
Phone
(304) 293-1312
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2011018414 MO
Orthopaedic Surgery Physician 207X00000X 27761 WV Primary

Addresses

Primary practice location

1 Medical Center Dr
Ruby Memorial Hospital
Morgantown, WV 26506

Mailing address

PO Box 9196
Health Sciences Center
Morgantown, WV 26506-9196
Phone (304) 293-1312

Other practice location 1

1100 Virginia Ave
Columbia, MO 65212-0001
Phone (573) 882-5731

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dtager110726@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address dtager110726@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925000004 WV Practitioner - Orthopedic Surgery 5597999706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Medicine and Surgery, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011018414MOMDOrthopaedic Surgery Physician
27761WVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jul 19, 2017 Accepting new patients
West Virginia University Medical Corporation Orthopaedic Surgery CurrentSince Jul 19, 2017 Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Locations

912 Somerset Blvd
Ste 101
Charles Town, WV 25414
Phone (304) 724-2663

100 Stoney Hill Rd
Fairmont, WV 26554
Phone (304) 285-5400

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

10 Medical Park
Ste 305
Wheeling, WV 26003

Interoperability endpoints

  • Direct secure messaging: david.tager@cernerdirect.coxhealth.com
  • Direct secure messaging: dtager110726@direct.wvuhsdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1245526730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9196",
            "address_2": "HEALTH SCIENCES CENTER",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069196",
            "telephone_number": "304-293-1312",
            "fax_number": "304-293-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "RUBY MEMORIAL HOSPITAL",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-293-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-5731",
            "fax_number": "573-884-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGER",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2011018414",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "27761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtager110726@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Somerset Blvd Ste 101",
            "city": "Charles Town",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254143954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtager110726@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Somerset Blvd Ste 101",
            "city": "Charles Town",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254143954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.