Active NPI
Jane Maria Pavlas, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1083800148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006 - Phone
- (405) 419-8420
- Fax
- (405) 419-8460
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Mailing address
6205 N Sante Fe Street
Suite 200
Oklahoma City, OK 73118-7536
Phone (405) 427-6776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200216550A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1083800148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6205 N SANTE FE STREET",
"address_2": "SUITE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731187536",
"telephone_number": "405-427-6776",
"fax_number": "405-419-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14024 QUAIL POINTE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341006",
"telephone_number": "405-419-8420",
"fax_number": "405-419-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLAS",
"first_name": "JANE",
"middle_name": "MARIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200216550A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.