Active NPI
Jan Pavlinec M.D., P.a.
- Legal Medicine
- Pompano Beach, FL
National Provider Identifier
1124382940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MEO38469
- Legal business name
- JAN PAVLINEC M.D., P.A.
- Practice address
- 1161 SE 22ND Ave
Pompano Beach, FL 33062-7045 - Phone
- (954) 785-7343
- Fax
- (954) 785-4636
- NPI assigned
- Jun 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jan Pavlinec, M.D.
- Title
- President
- Phone
- (954) 801-2398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MEO38469 | FL | Primary |
Addresses
Primary practice location
1161 SE 22ND Ave
Pompano Beach, FL 33062-7045
Mailing address
1161 SE 22ND Ave
Pompano Beach, FL 33062-7045
Phone (954) 785-7343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062051300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1161 SE 22nd Ave
Pompano Beach, FL 33062
Phone (954) 785-7343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Legal Medicine
- Pompano Beach, FL
- NPI 1801981303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340668800000",
"number": "1124382940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 SE 22ND AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627045",
"telephone_number": "954-785-7343",
"fax_number": "954-785-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 SE 22ND AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627045",
"telephone_number": "954-785-7343",
"fax_number": "954-785-4636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN PAVLINEC M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-26",
"last_updated": "2012-06-26",
"status": "A",
"authorized_official_last_name": "PAVLINEC",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-801-2398",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "FL",
"license": "MEO38469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062051300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.