DR. BOJAN PAVLOVIC (NPI# 1760673206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760673206 |
| Entity Type | Individual |
| Full Name | DR. BOJAN PAVLOVIC |
| Credential | MD |
| Practice Address |
3770 Glenkerry Ct Portage MI 49024 |
| Mailing Address |
61 Commerce Ave Sw Grand Rapids MI 49503 |
| Practice Telephone | 2693292887 |
| Practice Fax Number | 2693292805 |
| Mailing Telephone | 6169400660 |
| Mailing Fax Number | 6169401965 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4301089505 | MI | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036.115520 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 036.115220 | 01 |
| Street Address |
3770 GLENKERRY CT |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407817349 | Matthew Lars Kuiper | Pain Medicine | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2006-03-30 |
| 1174185771 | Michael David Mccallister | Nurse Practitioner | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2019-07-03 |
| 1881995827 | Precision Physical Therapy | Physical Therapist | 3770 Glenkerry Ct, Portage, MI 49024 | 2010-11-08 |
| 1770884710 | Laythen Young | Physical Therapist | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2010-11-08 |
| 1679885602 | Jason Randall | Psychologist | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2010-07-07 |
| 1548403439 | Lisa Marie Makuch | Psychologist | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2009-04-08 |
| 1184722555 | Michael Thomas Kolinski | Neuromusculoskeletal Medicine & OMM | 3770 Glenkerry Ct, Portage, MI 49024 | 2006-09-20 |
| 1245280767 | Charles Guernsey | Pain Medicine | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2006-05-12 |
| 1538119391 | Southern Michigan Pain Consultants PC | Pain Medicine | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2006-05-11 |
| 1902863624 | Nancy Diane Ambs | Nurse Practitioner | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710197579 | Barton William Wild | Pain Medicine | 3770 Glenkerry Ct., Portage, MI 49024 | 2007-05-23 |
| 1407817349 | Matthew Lars Kuiper | Pain Medicine | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2006-03-30 |
| 1245280767 | Charles Guernsey | Pain Medicine | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2006-05-12 |
| 1538119391 | Southern Michigan Pain Consultants PC | Pain Medicine | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903294 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 4302 Bay City Rd, Midland, MI 48642-6014 | 2019-10-15 |
| 1437715232 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 705 E Frank St, Caro, MI 48723 | 2019-05-16 |
| 1083175913 | Bella Treatment Center PC | Pain Medicine | 28763 Northwestern Hwy Ste 100, Southfield, MI 48034-1842 | 2019-03-25 |
| 1245795848 | Advanced Pain Management Specialists, LLC | Pain Medicine | 46325 W 12 Mile Rd Ste 335, Novi, MI 48377-2464 | 2019-02-07 |
| 1356738686 | Genesee Pain Associates PC | Pain Medicine | 4468 Oakbridge Dr, Flint, MI 48532-5422 | 2015-04-24 |
| 1457745150 | Strategy Anesthesia Michigan Pllc | Pain Medicine | 13460 Fort St, Southgate, MI 48195-1138 | 2015-03-20 |
| 1407115884 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 2500 Niles Rd Ste 3, Saint Joseph, MI 49085-3225 | 2012-05-07 |
| 1386902013 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 24 N Saint Joseph Ave Ste B, Niles, MI 49120-2263 | 2012-05-01 |
| 1225302821 | Pain Clinic Management Group, Pllc | Pain Medicine | 35634 Dequindre Rd, Sterling Heights, MI 48310-4288 | 2012-02-28 |
| 1740567163 | Northville Pain Specialists Plc | Pain Medicine | 215 E. Main Street, Suite 201, Northville, MI 48167-1686 | 2011-11-14 |
| Find all providers with the same taxonomy | ||||
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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.