STEPHEN PAVLOCK


Address: 4000 Wellness Dr, Midland, MI 48670-0001
Phone: 9898393408

STEPHEN PAVLOCK (NPI# 1124048160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124048160
Entity Type Individual
Full Name STEPHEN PAVLOCK
Credential MD
Practice Address 4000 Wellness Dr
Midland
MI 48670-0001
Practice Telephone 9898393408
Mailing Telephone 9898393408
Enumeration Date 2006-07-20
Last Update Date 2012-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
SP057702 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1124048160 05
MA BLUE CROSS 300E676040 01

Office Location

Street Address 4000 WELLNESS DR
City MIDLAND
State MI
Zip Code 48670-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588663207 Darcey G Cox Anesthesiology 4000 Wellness Dr, Midland, MI 48670-2000 2005-07-15
1396345575 Graceson Caroline Kerr Physician Assistant 4000 Wellness Dr, Midland, MI 48670-2000 2020-10-28
1245840560 Dorothy Wong Student in an Organized Health Care Education/Training Program 4000 Wellness Dr, Midland, MI 48670-2000 2020-08-01
1861002206 Logan Amanda Steffke Student in an Organized Health Care Education/Training Program 4000 Wellness Dr, Midland, MI 48670-2000 2020-07-31
1598375941 Jonathon Skurya Student in an Organized Health Care Education/Training Program 4000 Wellness Dr, Midland, MI 48670-2000 2020-07-31
1063021673 Jenna Ann Randolph Speech-Language Pathologist 4000 Wellness Dr, Midland, MI 48670-2000 2020-07-29
1134738099 Natalie Hamilton Student in an Organized Health Care Education/Training Program 4000 Wellness Dr, Midland, MI 48670-5024 2020-07-27
1306455266 Lauren Stull Student in an Organized Health Care Education/Training Program 4000 Wellness Dr, Midland, MI 48670-2000 2020-07-27
1043828353 Shing Chao Student in an Organized Health Care Education/Training Program 4000 Wellness Dr, Midland, MI 48670-2000 2020-07-22
1477161784 Jordan Killingsworth Student in an Organized Health Care Education/Training Program 4000 Wellness Dr, Midland, MI 48670-2000 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104048768 Midmichigan Visiting Nurse Association Durable Medical Equipment & Medical Supplies 4000 Wellness, Midland, MI 48670 2007-05-03
1669414736 William Thomas Mccadie Jr. Internal Medicine 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 2006-06-12
1225404510 Oluwakemi Soetan Internal Medicine 4000 Wellness, Midland, MI 48670 2015-08-20
1477866044 Sundeep Atluri Internal Medicine 4000 Wellness Drive, Midland, MI 48670 2010-07-23
1710210679 William Michael Plaza Mellana Jr. Internal Medicine 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 2009-09-10
1740827724 Timothy W Holden Family Medicine 4005 Orchard Dr Midland, Midland, MI 48670-0001 2019-12-09
1265074991 Kevin Gerard Przybylski Pharmacist 4000 Wellness Drive Inpatient Pharmacy, Midland, MI 48670-0001 2019-10-15
1982731659 Midmichigan Medical Center-midland Internal Medicine 4000 Wellness Drive, Midland, MI 48670-0001 2007-02-28
1760569958 Ximena Elizabeth Gumpel Physician Assistant Radiation Oncology, 4005 Orchard Drive, Midland, MI 48670-0001 2006-11-01
1326158072 David Eric Newcomb II Emergency Medicine Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 2006-08-30
Find all providers in zip 48670

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013977107 Jess J Dalehite Radiology 1004 N Big Spg, Suite 620, Midland, TX 79701-3354 2006-03-24
1396710554 Diagnostic Imaging Associates Radiology 200 Andrews Hwy, Midland, TX 79701-6375 2006-02-21
1962477125 Scott E Sheward Radiology 1004 N Big Spring St, Suite 620, Midland, TX 79701-3354 2006-02-21
1386900173 Viet Nguyen Radiology 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 2012-04-05
1841587920 John William Fox Jr. Radiology 4000 Wellness Dr, Midland, MI 48670-2000 2011-07-08
1730353723 Midmichigan Medical Center Midland Radiology 4005 Orchard Dr, Midland, MI 48670-0001 2008-04-22
1861682700 Will E Close Radiology 400 Rosalind Redfern Grover Pkwy, Radiology Dept, Midland, TX 79701-5846 2007-07-26
1972704807 Luke A Carlson Radiology 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 2007-05-29
1952321986 Jeffrey Herman Radiology 4000 Wellness Dr, Midland, MI 48670-0001 2006-07-20
1174543110 Richard Montpetit Radiology 4005 Orchard Dr, Midland, MI 48670-0001 2006-07-20
Find all providers in MIDLAND

Competitor

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City MIDLAND
Zip Code 48670

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Dataset Information

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.

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