Christopher Daniel Pavelka in Vincennes - Surgery
Christopher Daniel Pavelka - NPI 1508056110
Christopher Daniel Pavelka is a Surgery in Vincennes, Indiana. Christopher Daniel Pavelka practices all healthcare services and medical treatments related to Surgery. The NPI Number for Christopher Daniel Pavelka is 1508056110. The last update date is 2017-07-13.
Christopher Daniel Pavelka's current location address is 520 S 7th St, Vincennes, Indiana. You can contact this provider via phone number 8128823280 and fax number 8128853459. The mailing address for Christopher Daniel Pavelka is 520 S 7th St, Vincennes, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Daniel Pavelka |
|---|---|
| Address | 520 S 7th St, Vincennes, Indiana |
| Phone Number | 8128823280 |
| Fax Number | 8128853459 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1508056110 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2017-07-13 |
Provider Mailing Address Detail
| Address | 520 S 7th St |
|---|---|
| City | Vincennes |
| State | Indiana (IN) |
| Post Code | 475911038 |
| Phone Number | 8128823280 |
| Fax Number | 8128853459 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 02003245A |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200882790 | IN | -- | |
| 868110 | HEALTHLINKS | ||
| 02003245A | STATE LICENSE | ||
| P00670406 | IN | RAILROAD MEDICARE | |
| 599359 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Christopher Daniel Pavelka by the Centers for Medicare & Medicaid Services?
The Christopher Daniel Pavelka has been issued the NPI (National Provider Identifier) 1508056110 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Christopher Daniel Pavelka?
The Christopher Daniel Pavelka is situated at 520 S 7Th St, in the city of Vincennes, state of IN, with the zip code 475911038.
What is the Christopher Daniel Pavelka's area of specialization and corresponding taxonomy classification?
The Christopher Daniel Pavelka's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did Christopher Daniel Pavelka receive its 1508056110 assignment from the Centers for Medicare & Medicaid Services?
The Christopher Daniel Pavelka was assigned its 1508056110 on 2007-07-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Christopher Daniel Pavelka's details last updated?
The information pertaining to the Christopher Daniel Pavelka, including its address, specialty, and other details, was most recently updated on 2017-07-13.