Frank John Pacovsky, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5960 Issued in MN

Practice address

1400 Madison Ave Ste 614
Mankato, MN 56001-5488

Phone

(507) 995-6090

Fax

(507) 594-9292

NPI assigned

May 3, 2007

Last updated

Jan 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1003038654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 614",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015488",
            "telephone_number": "507-995-6090",
            "fax_number": "507-594-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 614",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015488",
            "telephone_number": "507-995-6090",
            "fax_number": "507-594-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACOVSKY",
        "first_name": "FRANK",
        "middle_name": "JOHN",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138023100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.