Michele a Pashkevich MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C7202 Issued in AR

Legal business name

MICHELE A PASHKEVICH MD PA

Practice address

1708 W 42ND Ave
Pine Bluff, AR 71603-7008

Phone

(870) 536-7300

Fax

(870) 535-7858

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Michele A Pashkevich, MDNPI 1659319879

Title

President

Phone

(870) 536-7300

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Ann Pashkevich, MD

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1659319879
  NPD Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1306156476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-536-7300",
            "fax_number": "870-535-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-536-7300",
            "fax_number": "870-535-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE A PASHKEVICH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "PASHKEVICH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-536-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113183001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E04692",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merkessie Redix NP & Company Inc
• Angela Shawn Metcalf, MSN, APRN, FNP-C
• Julia Mae Meyer, PA-C
• Michael D. Clark, DDS, PA
• Michael J. Sutherland, MD, PA
• Michelle Eckert, M. D., PA
• Toni L Middleton, MD
• Mike S. McFarland Mdpa
• Chinedu Michael Mike-Eneh, M.B.B.S
• Diana Gray Millenbaugh, MSN, RNP, BC

• Family Medicine Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.