David Charles Vajnar, MD

Individual provider Active NPI General Practice Physician · Colfax, LA

NPI 1487972378 · NPPES record last updated Feb 6, 2015

Key facts

NPI
1487972378
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
023513 (LA)
Practice address
340 Webb Smith Dr
Colfax, LA 71417-1910
Phone
(318) 627-5021
Fax
(318) 627-5999
NPI assigned
May 17, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Spine & Rehab Center LLC Past
since Feb 27, 2017
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023513 LA Yes

Addresses

Primary practice location

340 Webb Smith Dr
Colfax, LA 71417-1910

Mailing address

PO Box 1288
Winnfield, LA 71483-1288
Phone (318) 627-5021

Other identifiers

IdentifierTypeStateIssuer
1486191MedicaidLA

Other providers in Colfax, LA

All providers in Colfax, LA · General Practice Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.