# MR. DAVID P. PEASAK II

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316987001
- **Gender:** Man
- **Credential:** MSN, NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 54117 | WV | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 08/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001722042 | BCBS | WA |
| 05 | — | 7103213000 | — | WV |
| 01 | — | P00287918 | RAILROAD MEDICARE | WV |
| 01 | — | WV54117 | THP | WV |