Active NPI
Mark Albert Pashayan, MD
- Pediatrics Physician
- Clemmons, NC
National Provider Identifier
1114919321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 95-01046
- Practice address
- 2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905 - Phone
- (336) 713-0582
- Fax
- (336) 713-0581
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 95-01046 | NC | Primary |
Addresses
Primary practice location
2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Mailing address
PO Box 602658
Charlotte, NC 28260-2658
Phone (336) 716-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8965775 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-01046 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1114919321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602658",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602658",
"telephone_number": "336-716-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 LEWISVILLE CLEMMONS RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128905",
"telephone_number": "336-713-0582",
"fax_number": "336-713-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASHAYAN",
"first_name": "MARK",
"middle_name": "ALBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "95-01046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8965775",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clemmons, NC
- Lindsey Pace, LCSW
- Jillian Victoria Palmer, AU.D.
- Paramount of Clemmons LLC (Paramount of Clemmons Nursing and Rehabilitation)
- Christian Drew Parkinson, DO
- Sarah G Parunak, PHARMD
- Nehali S Patel
- Pathways to Peace Counseling, PLLC
- Paul D. Nifong Jr. Ddspa
- Paul W Williams (Williams Chiropractic)
- Audra Pavlansky, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.