Active NPI
Thales N Pavlatos, MD
- Anesthesiology Physician
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35051485P
- Practice address
- 100 W Main St
Springfield, OH 45502-1312 - Phone
- (937) 521-3900
- NPI assigned
- Aug 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35051485P | OH | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35051485 | OH |
Addresses
Primary practice location
100 W Main St
Springfield, OH 45502-1312
Mailing address
PO Box 632621
Cincinnati, OH 45263-2621
Phone (706) 650-0705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0598698 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio State University College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W Main St
Springfield, OH 45502-1312
Phone (937) 521-3906
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35051485P | OH | MD | Anesthesiology Physician |
| 35051485 | OH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Medical Center, LLC | Current | Accepting new patients | |
| Mercy Anesthesia, Inc | Current | Accepting new patients | |
| Mercy Anesthesiologists Inc | Anesthesiology | Current | Accepting new patients |
| Springfield Regional Anesthesia, Inc | Anesthesiology | Past | Accepting new patients |
Locations
100 W Main St
Springfield, OH 45502
Phone (937) 521-3900
904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136
Interoperability endpoints
- tpavlatos@direct.ovsurgical.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1427165570
-
- Special Hospital
- Springfield, OH
- NPI 1619232451
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1588836597
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1336256486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632621",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632621",
"telephone_number": "706-650-0705",
"fax_number": "706-650-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455021312",
"telephone_number": "937-521-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLATOS",
"first_name": "THALES",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35051485P",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35051485",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0598698",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.