Individual provider Active NPI

Maria A Pavez, MD

  • Neurology Physician
  • Somerset, KY
National Provider Identifier
1114967239
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
32321 Issued in KY
Practice address
154 Bogle Office Park Drive
Suite B
Somerset, KY 42503-2810
Phone
(606) 451-3958
Fax
(606) 676-0110
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32321 KY
Neurology Physician 2084N0400X 32321 KY Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 32321 KY

Addresses

Primary practice location

154 Bogle Office Park Drive
Suite B
Somerset, KY 42503-2810

Mailing address

PO Box 719
Somerset, KY 42502-0719
Phone (606) 451-3958

Other identifiers 1

IdentifierTypeStateIssuer
64323215MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000235 KY Practitioner - Neurology 5890695076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

Practice addresses (Care Compare)

1210 Ky Hwy 36 E
Suite G3
Cynthiana, KY 41031-7492
Phone (859) 235-3638

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32321KYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Mar 1, 2014 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Feb 2, 2015 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Mar 1, 2014 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Danville Pathology Associates PLLP Current Accepting new patients
Harrison Memorial Hospital Inc CurrentSince May 1, 2016 Accepting new patients
Ephraim McDowell Health Resource, Inc Specialist CurrentSince Feb 2, 2015 Accepting new patients
Associates in Neurology, PSC Specialist Past Accepting new patients

Locations

439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

440 Whirlaway Dr
Ste 2
Danville, KY 40422
Phone (859) 936-0303

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

102 W Depot St
Springfield, KY 40069
Phone (606) 336-7343

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1114967239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425020719",
            "telephone_number": "606-451-3958",
            "fax_number": "606-676-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BOGLE OFFICE PARK DRIVE",
            "address_2": "SUITE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032810",
            "telephone_number": "606-451-3958",
            "fax_number": "606-676-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEZ",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "32321",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "32321",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "KY",
            "license": "32321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64323215",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.