D Pavelka Reproductive Associates, PA

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

License

27008 Issued in MN

Legal business name

D PAVELKA REPRODUCTIVE ASSOCIATES, PA

Doing business as

Pavelka Reproductive Associates

Practice address

500 Osborne Rd NE Ste 260
Fridley, MN 55432-2768

Phone

(763) 783-8155

Fax

(763) 783-1373

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Connie S Scott

Title

Office Coordinator

Phone

(763) 783-8155

Specialties & licenses 1

Addresses

Other names 1

• Pavelka Reproductive Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald A Pavelka, M.D.

  • Reproductive Endocrinology Physician
  • Fridley, MN
  • NPI 1447397849
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063629798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSBORNE RD NE STE 260",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322768",
            "telephone_number": "763-783-8155",
            "fax_number": "763-783-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORNE RD NE STE 260",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322768",
            "telephone_number": "763-783-8155",
            "fax_number": "763-783-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D PAVELKA REPRODUCTIVE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "763-783-8155"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "MN",
            "license": "27008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavelka Reproductive Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Cuddihy, OTR/L
• Ashley Culhane, ATC
• Aidan Joseph Culloton
• Michael Curran, LADC
• Peter T Currie, MD
• Tenzin Dadul, B.D.S., MDS
• Hodo M Dahir
• Muna Omar Dakane
• Gloria Jean Dalle Poulos, NBC-HWC, FMCHC, CHES
• Rufina Dalmeida, RN

• Clinic/Center in Fridley, MN
• Providers in Fridley, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.