Joel L Pelavin MD PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

JP042865 Issued in MI

Legal business name

JOEL L PELAVIN MD PC

Practice address

29750 Harper Ave
Saint Clair Shores, MI 48082-2607

Phone

(586) 296-7770

Fax

(586) 296-9617

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Miss Tracy L Halpin, C O A

Title

Biller

Phone

(586) 296-7770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1164559605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29750 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822607",
            "telephone_number": "586-296-7770",
            "fax_number": "586-296-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29750 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822607",
            "telephone_number": "586-296-7770",
            "fax_number": "586-296-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL L PELAVIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HALPIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "586-296-7770",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "C O A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "JP042865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "JP042865",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gray Jessiman, LLMSW
• Hanna Jetel, RD
• Jacob Jewell, FNP-C
• Hannah Emily Ranieri Jezak
• Jo Anne Levitan MD PC
• Joel L. Pelavin, M.D. P.C.
• John a Ryan PHD PC
• John Channing Enterprises, Inc
• John L. Zinkel MD, PC
• John M Steinberg DDS PC

• Eyewear Supplier in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.