DR. LUCAS JOHN PAVLOVICH (NPI# 1679553044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679553044 |
| Entity Type | Individual |
| Full Name | DR. LUCAS JOHN PAVLOVICH |
| Credential | MD |
| Practice Address |
1502 Harrison Ave Elkins WV 26241-3327 |
| Mailing Address |
Po Box 848220 Boston MA 02284-8220 |
| Practice Telephone | 3046374509 |
| Practice Fax Number | 3046373842 |
| Mailing Telephone | 3046374509 |
| Mailing Fax Number | 3046373842 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 19751 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE DME | 5110270001 | 01 |
| WV | BC/BS NUMBER | 001722346 | 01 |
| WV | 0098428000 | 05 | |
| TYPE II NPI | 1659391472 | 01 |
| Street Address |
1502 HARRISON AVE |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701912 | Linda Marie Little | Physician Assistant | 1502 Harrison Ave, Elkins, WV 26241-3497 | 2005-12-22 |
| 1023565546 | Chad Alan Ford | Physician Assistant | 1502 Harrison Ave, Elkins, WV 26241-3497 | 2016-09-01 |
| 1053711051 | Kari Williams | Specialist/Technologist | 1502 Harrison Ave, Elkins, WV 26241-3497 | 2014-08-27 |
| 1699982447 | Brian William Potter | Specialist/Technologist | 1502 Harrison Ave, Elkins, WV 26241-3497 | 2007-05-17 |
| 1962419671 | Alicia Carol Harper | Physician Assistant | 1502 Harrison Ave, Elkins, WV 26241-3327 | 2006-08-02 |
| 1659391472 | Tygart Valley Orthopedics and Sports Medicine, Inc. | Specialist | 1502 Harrison Ave, Elkins, WV 26241-3327 | 2006-07-21 |
| 1982675054 | Richard Edmond Topping | Orthopaedic Surgery | 1502 Harrison Ave, Elkins, WV 26241-3327 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346274925 | Kenneth Edward Damato | Orthopaedic Surgery | 100 Seneca Road, Elkins, WV 26241-1457 | 2006-07-10 |
| 1922107911 | Walter C. Boardwine | Orthopaedic Surgery | 812 Gorman Ave, Elkins, WV 26241-3181 | 2006-09-22 |
| 1982675054 | Richard Edmond Topping | Orthopaedic Surgery | 1502 Harrison Ave, Elkins, WV 26241-3327 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760756 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 1600 Murdoch Ave Ste 100, Parkersburg, WV 26101-3248 | 2017-10-02 |
| 1003251851 | Dana S Lycans | Orthopaedic Surgery | 2211 3rd Ave, Huntington, WV 25703-1225 | 2013-05-07 |
| 1548502354 | William David Mccormick | Orthopaedic Surgery | 60 Castle Pine Ln, South Charleston, WV 25309 | 2013-03-19 |
| 1922392851 | Stonewall Jackson Memorial Hospital Company | Orthopaedic Surgery | 29 Hospital Plz Ste C, Weston, WV 26452-8471 | 2011-06-08 |
| 1730473026 | Integrated Health Care Providers, Inc. | Orthopaedic Surgery | 1399 Hospital Dr, Hurricane, WV 25526-8709 | 2011-06-03 |
| 1568695047 | Chad Harrison Poage | Orthopaedic Surgery | 47 Highland Ridge Rd, Bridgeport, WV 26330-9263 | 2009-08-31 |
| 1447489828 | William Mcneel Browning IIi | Orthopaedic Surgery | 3100 Maccorkle Seave 900, Charleston, WV 25304-1223 | 2009-07-07 |
| 1356540249 | Scott D Daffner | Orthopaedic Surgery | 1 Stadiumdrive, Morgantown, WV 26506 | 2007-07-12 |
| 1730390782 | Scott Roberts | Orthopaedic Surgery | 10 Mulligan Dr, Petersburg, WV 26847-1000 | 2007-05-24 |
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LUCAS JOHN PAVLOVICH.
| 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.