DRS. PAVLICK AND REPPAS, INC. (NPI# 1942489570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942489570 |
| Entity Type | Organization |
| Organization Name | DRS. PAVLICK AND REPPAS, INC. |
| Practice Address |
571 Boston Mills Rd Hudson OH 44236-1164 |
| Practice Telephone | 3306559700 |
| Practice Fax Number | 3303429847 |
| Mailing Telephone | 3306559700 |
| Mailing Fax Number | 3303429847 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | MATTHEW D PAVLICK (PRESIDENT) |
| Authorized Official Telephone | 3306786564 |
| Authorized Official Credential | DDS MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | 35.065469 | OH | Allopathic & Osteopathic Physicians |
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
35.065469 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PTAN | 0743902 | 01 |
| Street Address |
571 BOSTON MILLS RD |
| City | HUDSON |
| State | OH |
| Zip Code | 44236-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912090291 | John Philip Neary | Oral & Maxillofacial Surgery | 571 Boston Mills Rd, Suite 100, Hudson, OH 44236-1112 | 2006-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881195477 | Amber Sommer | Dietitian, Registered | 1742 Georgetown Road, Hudson, OH 44236 | 2018-02-28 |
| 1184149585 | Elena A Berman | Technician | 2654 Blue Heron Dr, Hudson, OH 44236 | 2017-08-07 |
| 1114390671 | Costco Wholesale Corporation | Pharmacy | 6720 Bass Pro Rd, Boston Heights, OH 44236 | 2015-11-05 |
| 1972975803 | Costco Wholesale Corporation | Hearing Aid Equipment | 6720 Bass Pro Drive, Boston Heights, OH 44236 | 2015-10-30 |
| 1841695624 | The Hair Specialists | Anaplastologist | 180 W. Streetsboro St, Hudson, OH 44236 | 2014-10-23 |
| 1326441163 | Haley E Dunn | Counselor | 10 W. Streetsboro St., 107, Hudson, OH 44236 | 2014-10-08 |
| 1538578000 | Hudson Elms | Skilled Nursing Facility | 563 West Streetsboro Street, Hudson, OH 44236 | 2014-08-08 |
| 1316375215 | Mary Meghan Folino Hylton | Nurse Practitioner | 5655 Hudson Dr Ste 301, Hudson, OH 44236 | 2013-10-31 |
| 1225382708 | Stamatios Tripodis | Physical Therapist | 1310 Corporate Drive, Hudson, OH 44236 | 2012-11-05 |
| 1881943199 | Susan Belle Ujvari | Licensed Practical Nurse | 1661 Sapphire Drive, Hudson, OH 44236 | 2012-08-31 |
| Find all providers in zip 44236 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508005505 | Hauw Han M.d. LLC | Plastic Surgery | 7593 Tylers Place Blvd Ste 104, West Chester, OH 45069-6313 | 2009-02-13 |
| 1568763985 | George Peter Parras Md Inc | Plastic Surgery | 26908 Detroit Rd, 105, Westlake, OH 44145-2398 | 2010-11-17 |
| 1952621443 | Christopher Reeder & Associates Plastic Surgery LLC | Plastic Surgery | 6728 Loop Rd, Bldg. 5, Suite 301, Centerville, OH 45459-2196 | 2010-06-07 |
| 1982825352 | Gregory Michael Beddell | Plastic Surgery | 4275 Steels Pointe, Stow, OH 44224-6841 | 2007-05-01 |
| 1194874149 | Jon E Mendelsohn | Plastic Surgery | 3805 Edwards Rd, Suite 100, Cincinnati, OH 45209-1900 | 2007-01-09 |
| 1992888911 | George Peter Parras | Plastic Surgery | 26908 Detroit Rd, #105, Westlake, OH 44145-2398 | 2006-10-23 |
| 1598845323 | David A Billmire | Plastic Surgery | 3333 Burnet Ave, Ml 2020, Cincinnati, OH 45229-3026 | 2006-10-16 |
Please comment or provide details below to improve the information on DRS. PAVLICK AND REPPAS, INC..
| 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.