PAVEL VACLAV PETRIK (NPI# 1417044868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417044868 |
| Entity Type | Individual |
| Full Name | PAVEL VACLAV PETRIK |
| Credential | MD |
| Practice Address |
1331 W Avenue J Suite 203 Lancaster CA 93534-2942 |
| Practice Telephone | 6619454433 |
| Practice Fax Number | 6619400206 |
| Mailing Telephone | 6619454433 |
| Mailing Fax Number | 6619400206 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G74861 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0091800 | 05 |
| Street Address |
1331 W AVENUE J SUITE 203 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542811 | Ashiq Vithalbhai Patel | Specialist | 1331 W Avenue J, Suite 206, Lancaster, CA 93534-2942 | 2005-07-18 |
| 1881233955 | Maryjane Domenique Padilla | Case Manager/Care Coordinator | 1331 W Avenue J, Lancaster, CA 93534-2942 | 2020-01-06 |
| 1851707806 | Alafia Mental Health, Institute | Student in an Organized Health Care Education/Training Program | 1331 W Avenue J, Lancaster, CA 93534-2942 | 2014-07-10 |
| 1013340827 | Nadine Domue | Counselor | 1331 W Avenue J, #202, Lancaster, CA 93534-2942 | 2013-08-15 |
| 1144587825 | Heather Lee Walker | Counselor | 1331 W Avenue J, Lancaster, CA 93534-2942 | 2012-04-18 |
| 1982984506 | Naomi Lorraine Moran | Counselor | 1331 W Avenue J, Ste. 202, Lancaster, CA 93534-2942 | 2011-08-26 |
| 1275855090 | Sun Bo Shim | Marriage & Family Therapist | 1331 W Avenue J, Suite 202, Lancaster, CA 93534-2942 | 2010-02-21 |
| 1548412596 | Advanced Sleep Medicine Services Inc | Clinic/Center | 1331 W Avenue J, Suite 104, Lancaster, CA 93534-2946 | 2008-10-21 |
| 1124287768 | Shan A Nathan Md A Professional Corporation | Specialist | 1331 W Avenue J, Suite 101, Lancaster, CA 93534 | 2008-06-09 |
| 1114184991 | Racquel Elizabeth Shores | Counselor | 1331 W Avenue J, Suite 202, Lancaster, CA 93534-2942 | 2008-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1720341266 | Lawrence I. Bonchek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Woodfield Xing, Lancaster, PA 17602-4865 | 2012-06-20 |
| 1598038804 | Lancaster General Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 N Duke St, Suite 110, Lancaster, PA 17602-2374 | 2012-02-16 |
| 1548589864 | Frank M. Yusuf, M.d., A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1601 W Avenue J, Suite 104, Lancaster, CA 93534-2824 | 2010-05-26 |
| 1568678894 | Mark Epler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 N Duke St, Suite 110, Lancaster, PA 17602-2374 | 2007-05-15 |
| 1144433434 | Antelope Valley Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J, Suite 203, Lancaster, CA 93534-2942 | 2007-05-07 |
| 1306063656 | P Aryeh Cohen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 618 Pleasantville Rd, Suite 202, Lancaster, OH 43130-3312 | 2007-04-19 |
| 1538289269 | Jennifer Worth | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 N Duke St, Ste 110, Lancaster, PA 17602-2374 | 2007-03-29 |
| 1205923646 | Tom Mahendra | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J, Suite 203, Lancaster, CA 93534-2942 | 2006-10-06 |
| 1063529451 | Lancaster Hma Physician Management Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 233 College Ave, Lancaster, PA 17603-3372 | 2006-08-23 |
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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.