DONALD A PAVELKA (NPI# 1447397849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447397849 |
| Entity Type | Individual |
| Full Name | DONALD A PAVELKA |
| Credential | M.D. |
| Practice Address |
500 Osborne Rd Ne Suite 260 Fridley MN 55432-2765 |
| Practice Telephone | 7637838155 |
| Practice Fax Number | 7637831373 |
| Mailing Telephone | 7637838155 |
| Mailing Fax Number | 7637831373 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
27008 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
500 OSBORNE RD NE SUITE 260 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851694 | Crystal M Dexter | Family Medicine | 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2774 | 2005-06-15 |
| 1083152367 | Angela Bennett | Pediatrics | 500 Osborne Rd Ne, Suite 215, Fridley, MN 55432-2765 | 2017-02-07 |
| 1902263866 | Jennifer Alma Wilson | Registered Nurse | 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2774 | 2016-01-24 |
| 1689067860 | Mona Abdel-bary | Family Medicine | 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2765 | 2015-03-11 |
| 1073935219 | Jill Marrone | Dietitian, Registered | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2014-01-07 |
| 1164844304 | Michelle Mezera | Dietitian, Registered | 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2765 | 2014-01-07 |
| 1720315567 | Cities Lung Clinic Pa | Internal Medicine | 500 Osborne Rd Ne, Suite 360, Fridley, MN 55432-2783 | 2009-11-16 |
| 1932341252 | Lucie Larson | Obstetrics & Gynecology | 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2765 | 2009-04-01 |
| 1437399250 | Advanced Cosmetic & Plastic Surgery | Specialist | 500 Osborne Rd Ne, Suite 130, Fridley, MN 55432-2765 | 2009-03-06 |
| 1255588299 | Metropolitan Cardiology Consultants | Specialist | 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432-2765 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780983528 | Wael Salem | Obstetrics & Gynecology | 6565 France Ave S Ste 400a, Edina, MN 55435 | 2011-03-18 |
| 1386653699 | Colleen Louise Casey | Obstetrics & Gynecology | 2828 Chicago Ave. So., Suite 400, Minneapolis, MN 55407-1320 | 2006-08-05 |
| 1669428470 | Charity Lee Angle | Obstetrics & Gynecology | 2800 Chicago Av S, Suite 300, Minneapolis, MN 55407-1320 | 2006-05-25 |
| 1457307191 | Karen L Collins | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2006-05-25 |
| 1457300527 | Pamela Rae Herder | Obstetrics & Gynecology | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1320 | 2006-05-08 |
| 1578958229 | Colleen Miller | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-03-31 |
| 1679816607 | Tana Kim | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-03-27 |
| 1194043984 | Chandra C Shenoy | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0002 | 2010-05-04 |
| 1841523248 | Mcrh Alpha Medical, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-09-16 |
| 1396976437 | Great Planes Reproductive Center, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
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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.