Mordechai Pavlovsky (NPI# 1053548776, PAC ID# 7911126248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1053548776 |
| PAC ID by PECOS | 7911126248 |
| Professional Enrollment ID | I20140917003181 |
| Full Name | Mordechai Pavlovsky |
| Organization Legal Name | SUTTER EAST BAY MEDICAL FOUNDATION |
| Address |
2500 Milvia St Berkeley CA 94704-2636 |
| Phone Number | 5102045600 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8426039694 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| Address | Phone | Organization |
|---|---|---|
| 2500 Milvia St, Berkeley, CA 94704-2636 | 5102045600 | SUTTER EAST BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER EAST BAY MEDICAL FOUNDATION |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malaika Stoll | Family Practice | Sutter East Bay Medical Foundation | 2850 Telegraph Ave, Berkeley, CA 94705-1159 |
| Alaric Casimir Lebaron | Anesthesiology | Sutter East Bay Medical Foundation | 2999 Regent St, Berkeley, CA 94705-2118 |
| Louis W Wu | Internal Medicine | Sutter East Bay Medical Foundation | 2999 Regent St, Berkeley, CA 94705-2118 |
| Pooyan Badihian Sadeghi | General Surgery | Sutter East Bay Medical Foundation | 350 Hawthorne Ave, Oakland, CA 94609-3108 |
| Sarah B Noonberg | Internal Medicine | Sutter East Bay Medical Foundation | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Samuel J Santoro | Obstetrics/gynecology | Sutter East Bay Medical Foundation | 20101 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Sarah Fay Sanghavi | Critical Care (intensivists) | Sutter East Bay Medical Foundation | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 |
| Street Address |
2500 MILVIA ST |
| City | BERKELEY |
| State | CA |
| Zip | 94704-2636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilary A Modell | Nurse Practitioner | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Petra Froehlich Landman | Pediatric Medicine | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Mary E Wardlaw | Nurse Practitioner | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Pavithra Venkat | Obstetrics/gynecology | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Ella Kamal Khan | Family Medicine | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Andrew Bard Wallach | Family Medicine | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Onouwem Nseyo | Obstetrics/gynecology | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Grant Woei Wang | Family Medicine | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Haruka Kelley | Nurse Practitioner | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Nadya Kondrashov | Obstetrics/gynecology | Sutter Bay Medical Foundation | 2500 Milvia St, Berkeley, CA 94704-2636 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonardo M Dacanay | Ophthalmology | 1936 University Ave, Suite 112, Berkeley, CA 94704-1003 | |
| Roberta L Stern | Clinical Social Worker | 1903 Berkeley Way, Suite 3, Berkeley, CA 94704-1007 | |
| Michelle E Rice | Physical Therapy | G Sports Physical Therapy, Inc. | 2030 Addison St, Suite 101, Berkeley, CA 94704-1140 |
| Sarah L Jay | Physical Therapy | G Sports Physical Therapy, Inc. | 2030 Addison St, Suite 101, Berkeley, CA 94704-1140 |
| Andrew C Monteleone | Physical Therapy | G Sports Physical Therapy, Inc. | 2030 Addison St, Suite 101, Berkeley, CA 94704-1140 |
| Jonathan M Lipschutz | Qualified Audiologist | 2118 Shattuck Ave, Berkeley, CA 94704-1209 | |
| Traci Lynn Dolezel | Optometry | 2174 Shattuck Ave, Berkeley, CA 94704-1307 | |
| Audrey H Webb | Clinical Social Worker | 2041 Bancroft Way, Suite 307, Berkeley, CA 94704-1406 | |
| Shannon Louise Dubach | Psychologist, Clinical | 2041 Bancroft Way, Suite 307, Berkeley, CA 94704-1406 | |
| Allan J Horwitz | Physical Therapy | Berkeley Community Physical Therapy Inc | 2041 Bancroft Way, Suite 301, Berkeley, CA 94704-1443 |
| Find all physicians in zip 94704 | |||
| City | BERKELEY |
| Zip Code | 94704 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BERKELEY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mordechai Pavlovsky.
| 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.