MR. JAMES JOSEPH PAVAO


Address: 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893
Phone: 8437238823

MR. JAMES JOSEPH PAVAO (NPI# 1952490013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952490013
Entity Type Individual
Full Name MR. JAMES JOSEPH PAVAO
Credential PA-C
Practice Address 2145 Henry Tecklenburg Dr
Charleston
SC 29414-5893
Mailing Address Po Box 751649
Charlotte
NC 28275-1649
Practice Telephone 8437238823
Mailing Telephone 8437891620
Mailing Fax Number 8437242440
Enumeration Date 2006-10-12
Last Update Date 2015-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1325 SC Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1582 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC MEDICAID GROUP # GP5006 01
SC MEDICAID GROUP # GP5005 01
SC MEDICAID GROUP # GP5072 01
SC 0733PA 05
SC MEDICAID GROUP # GP5004 01
SC MEDICARE GROUP # 5551 01
SC RAILROAD MEDICARE ID P00648630 01
SC MEDICAID GROUP # GP5007 01

Office Location

Street Address 2145 HENRY TECKLENBURG DR
City CHARLESTON
State SC
Zip Code 29414-5893

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013980168 James Reilly Keffer Physical Medicine & Rehabilitation 2145 Henry Tecklenburg Dr, Ste 220, Charleston, SC 29414-5893 2006-02-09
1417419193 Roper Saint Francis Physicians Network Physical Medicine & Rehabilitation 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 2019-04-02
1316455140 Claudio Raffaele Zampino Registered Nurse 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 2018-01-15
1497155279 Kathryn Anne Wade Physician Assistant 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2014-08-28
1083040687 Ericka Weaver Holland Physician Assistant 2145 Henry Tecklenburg Dr, Suite 100, Charleston, SC 29414-5893 2013-09-16
1437599206 Roper Saint Francis Physicians Network Pain Medicine 2145 Henry Tecklenburg Dr, Suite 220w, Charleston, SC 29414-5893 2013-06-26
1750654646 Summer Landers Physician Assistant 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2012-02-23
1164753430 Joseph C. Mctavish Physician Assistant 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2010-01-26
1841482288 Rose Shannon Trageser Physician Assistant 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2007-08-09
1306046479 Kyle Joseph Prothro Specialist/Technologist 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2007-07-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
Find all providers in zip 29414

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144653742 Carrie Marie Thompson Physician Assistant 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 2013-08-19
1609184316 Kym L Kittle Physician Assistant 161 Ashley Ave, Charleston, SC 29425-8905 2010-09-15
1881249951 Nicole L. Pages Physician Assistant 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414-5749 2019-08-06
1457825002 Alexandra Taylor Shumway Physician Assistant 510 Albemarle Rd, Charleston, SC 29407-7540 2019-01-16
1346733086 Kari Rae Hunter Physician Assistant 210 Brooks St Ste 200, Charleston, WV 25301-1848 2018-06-07
1396258869 Brandon Christopher Griffin Physician Assistant 171 Ashley Ave, Charleston, SC 29425-8908 2017-11-07
1346751237 Adam Nathaniel Hill Physician Assistant 415 Morris St Ste 400, Charleston, WV 25301-1854 2017-10-18
1740790047 Mary Margaret Barrow Physician Assistant 171 Ashley Ave, Charleston, SC 29425-8908 2017-10-02
1295245553 Brooke Jackson Kahn Physician Assistant 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414 2017-10-01
1326499625 Karen R. Flannagan Physician Assistant 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 2016-06-28
Find all providers in CHARLESTON

Competitor

Search similar providers

City CHARLESTON
Zip Code 29414

Improve Information

Please comment or provide details below to improve the information on MR. JAMES JOSEPH PAVAO.

Dataset Information

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.

Trending Searches