Active NPI
Michael Kavic, MD
- Surgery Physician
- Youngstown, OH
National Provider Identifier
1144323908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35031654
- Practice address
- 1044 Belmont Ave
Youngstown, OH 44504-1006 - Phone
- (330) 746-7211
- NPI assigned
- Sep 7, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35031654 | OH | Primary |
Addresses
Primary practice location
1044 Belmont Ave
Youngstown, OH 44504-1006
Mailing address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 746-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2119497 | Medicaid | OH |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35031654 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144323908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-746-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-746-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVIC",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35031654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2119497",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.