NPIMap

Individual provider Active NPI

Pierre V Pavot, DO

  • Neurology Physician
  • Longmont, CO
National Provider Identifier
1285631440
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
41261 Issued in CO
Practice address
2030 Mountain View Ave
Suite 300
Longmont, CO 80501-3178
Phone
(303) 485-3535
Fax
(303) 485-3536
NPI assigned
Jul 3, 2005
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 41261 CO Primary

Addresses

Primary practice location

2030 Mountain View Ave
Suite 300
Longmont, CO 80501-3178

Mailing address

2030 Mountain View Avenue
#300
Longmont, CO 80501
Phone (303) 485-3535

Other identifiers 2

IdentifierTypeStateIssuer
06840858MedicaidCO
68408528MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000987 CO Practitioner - Neurology 8022900760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
College of Osteo Med of the Pacific at Pomona, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 S Airport Rd
BLDG B Suite E
Longmont, CO 80503-6424
Phone (720) 491-3322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41261COMDNeurology Physician
50067COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Institute for Neuromuscular and Neurological Disorders, PLLC Neurology CurrentSince Jan 1, 2006 Accepting new patients
Longmont United Hospital Past Accepting new patients

Locations

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

2030 Mountain View Ave
Ste 220
Longmont, CO 80501
Phone (303) 702-5995

2030 Mountain View Ave
Ste 300
Longmont, CO 80501
Phone (720) 652-8650

600 S Airport Rd
Bldg B
Longmont, CO 80503
Phone (720) 491-3402

600 S Airport Rd
Ste E
Longmont, CO 80503
Phone (303) 772-1700

Interoperability endpoints

  • Direct secure messaging: coinstituteforneuromuscular.pierrepavot@118933.advancedmd-direct.com

Organizations & group practices 2

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

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1285631440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVENUE",
            "address_2": "#300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-485-3535",
            "fax_number": "303-485-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-485-3535",
            "fax_number": "303-485-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVOT",
        "first_name": "PIERRE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-03",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "41261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06840858",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68408528",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.