DR. ANDREW SINCLAIR PAVLOVICH (NPI# 1013980614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013980614 |
| Entity Type | Individual |
| Full Name | DR. ANDREW SINCLAIR PAVLOVICH |
| Credential | M.D. |
| Practice Address |
4880 Nw Goodview Circle Lees Summit MO 64064 |
| Mailing Address |
3340 Ne Ralph Powell Rd Suite B Lees Summit MO 64064-2368 |
| Practice Telephone | 8164784200 |
| Practice Fax Number | 8164780507 |
| Mailing Telephone | 8168752599 |
| Mailing Fax Number | 8168752598 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | R4J45 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | UHC | 1008053 | 01 |
| MO | BCBS OF KC | 15072030 | 01 |
| MO | AETNA | 4082857 | 01 |
| MO | CHAMPUS | 204510882 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598062648 | Andrew D Pavlovich | Physical Therapist | 2075 University Park Blvd, Layton, UT 84041 | 2011-02-24 |
| Street Address |
4880 NW GOODVIEW CIRCLE |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001450 | Midwest Ear Nose & Throat Ctr PC | Otolaryngology | 4880 Nw Goodview Circle, Lees Summit, MO 64064 | 2005-08-31 |
| 1972576593 | Kelvin L Walls | Otolaryngology | 4880 Nw Goodview Circle, Lees Summit, MO 64064 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205308871 | Head and Neck Surgical Associates of Lees Summit LLC | Otolaryngology | 3340 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2018-12-20 |
| 1497978548 | Douglas Howard Cowan | Otolaryngology | 4880 Ne Goodview Cirlcle, Lees Summit, MO 64064 | 2007-04-10 |
| 1740201599 | Mark Owen Covington | Otolaryngology | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2006-07-21 |
| 1023001450 | Midwest Ear Nose & Throat Ctr PC | Otolaryngology | 4880 Nw Goodview Circle, Lees Summit, MO 64064 | 2005-08-31 |
| 1972846491 | Thomas John Muelleman | Otolaryngology | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2013-04-03 |
| 1588920144 | Nicholas Edward Wirtz | Otolaryngology | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2012-04-09 |
| 1669624896 | Gary Y Shaw Md PC | Otolaryngology | 296 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2008-10-21 |
| 1487812707 | Daniel Adam Sleve | Otolaryngology | 4880 Ne Goodview Circle, Lees Summit, MO 64064 | 2008-05-23 |
| 1609921196 | Luke J Dlabal Jr Md PC | Otolaryngology | 3601 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2357 | 2007-01-24 |
| 1508963414 | Luke Jacob Dlabal Jr. | Otolaryngology | 3601 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2357 | 2006-09-20 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.