Active NPI
David Samuel Tager, M.D.
- Orthopaedic Surgery Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 27761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011018414 | MO | MD | Orthopaedic Surgery Physician |
| 27761 | WV | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Orthopaedic Surgery | Current | 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
- david.tager@cernerdirect.coxhealth.com
- 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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Orthopaedic Surgery
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.