Max L Pavlock (NPI# 1891936522, PAC ID# 2466504766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1891936522 |
| PAC ID by PECOS | 2466504766 |
| Professional Enrollment ID | I20151231001440 |
| Full Name | Max L Pavlock |
| Organization Legal Name | BELLEVUE PROFESSIONAL SERVICES INC |
| Address |
1255 W Main St Bellevue OH 44811-9015 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3779485099 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360107 | BELLEVUE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1255 W Main St, Bellevue, OH 44811-9015 | BELLEVUE PROFESSIONAL SERVICES INC | |
| 1400 W Main St, Bellevue, OH 44811-9088 | 4194845980 | BELLEVUE PROFESSIONAL SERVICES INC |
| 1400 W Main St, Suite A, Bellevue, OH 44811-9088 | 4194832494 | BELLEVUE PROFESSIONAL SERVICES INC |
| Organization Legal Name | BELLEVUE PROFESSIONAL SERVICES INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter David Highlander | Podiatry | Bellevue Professional Services Inc | 420 W Mcpherson Hwy, Clyde, OH 43410-1133 |
| Benjamin Edward Ball | Internal Medicine | Bellevue Professional Services Inc | 1005 W Mcpherson Hwy, Clyde, OH 43410-1001 |
| Corey R Fazio | Obstetrics/gynecology | Bellevue Professional Services Inc | 1265 W Main St, Suite A, Bellevue, OH 44811-9055 |
| Marcia Braun | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Bellevue, OH 44811-9015 |
| Lisa Jo Aichholz | Nurse Practitioner | Bellevue Professional Services Inc | 402 W Mcpherson Hwy, Clyde, OH 43410-1133 |
| Gregory Karasik | Obstetrics/gynecology | Bellevue Professional Services Inc | 1400 W Main St, Bellevue, OH 44811-9088 |
| Samuel E Ross | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Douglas M Hoy | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Pamela Cramer | Nurse Practitioner | Bellevue Professional Services Inc | 1265 W Main St, Suite A, Bellevue, OH 44811-9055 |
| Marc A Naderer | Family Medicine | Bellevue Professional Services Inc | 402 W Mcpherson Hwy, Clyde, OH 43410-1133 |
| Street Address |
1255 W MAIN ST |
| City | BELLEVUE |
| State | OH |
| Zip | 44811-9015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia Braun | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Bellevue, OH 44811-9015 |
| Samuel E Ross | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Douglas M Hoy | Family Medicine | Bellevue Professional Services Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Nathan P Samsa | Pulmonary Disease | Bellevue Professional Services Inc | 1255 W Main St, Bellevue, OH 44811-9015 |
| Theodore Ball | Family Practice | Ball Medical Clinic Inc | 1255 W Main St, Suite A, Bellevue, OH 44811-9015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim E Knight | Family Medicine | 521 N Sandusky St, Suite A, Bellevue, OH 44811-1180 | |
| Edward J Hemeyer | Family Medicine | Northern Ohio Medical Specialists LLC | 521 N Sandusky St/ste B, Bellevue, OH 44811-1180 |
| Aaron G Nicely | Chiropractic | 1110 Castalia St G, Bellevue, OH 44811-1181 | |
| Orville Rene Amburn | Family Medicine | 250 Castalia St, Suite G, Bellevue, OH 44811-1200 | |
| Corey R Fazio | Obstetrics/gynecology | Bellevue Professional Services Inc | 1265 W Main St, Suite A, Bellevue, OH 44811-9055 |
| Pamela Cramer | Nurse Practitioner | Bellevue Professional Services Inc | 1265 W Main St, Suite A, Bellevue, OH 44811-9055 |
| Mark David Pifer | Optometry | Advanced Family Eyecare Inc | 1355 W Main St, Suite A, Bellevue, OH 44811-9082 |
| Mark Motley | Optometry | Advanced Family Eyecare Inc | 1355 W Main St, Suite A, Bellevue, OH 44811-9082 |
| Nicholas Alton Brown | Podiatry | Northern Ohio Foot and Ankle Specialists, LLC | 1400 W Main St E, Bellevue, OH 44811-9088 |
| Gregory Karasik | Obstetrics/gynecology | Bellevue Professional Services Inc | 1400 W Main St, Bellevue, OH 44811-9088 |
| Find all physicians in zip 44811 | |||
| City | BELLEVUE |
| Zip Code | 44811 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BELLEVUE + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.