Jeffrey Pawlowski, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0433 Issued in AZ

Practice address

6104 E Brown Rd
Suite 101
Mesa, AZ 85205-4953

Phone

(480) 219-4100

Fax

(877) 258-1138

NPI assigned

Sep 22, 2005

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Podiatric Physicians of Arizona, Inc.

  dba Arizona Institute of Footcare Physicians

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1194944728
  NPD (past)
• Podiatric Physicians of Arizona, Inc.

  dba Steward Medical Group of Arizona / Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1609366533
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1346236544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-219-4100",
            "fax_number": "877-258-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-219-4100",
            "fax_number": "877-258-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "JEFFREY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0194390",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385634",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480032937",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pavilion Guest Home
• Pavillion
• Leigh Pavlik, PA-C
• Courtney Rebecca Pavone, LAC
• Laureen D Pavtis, DC
• Paxora Psychiatry PLLC
• Jeffrey Lee Paxson, ATC,L CSCS
• John R. Payne II, MA, MC, LPC, NCC
• Kevin Scott Payne, PA-S1
• Julianne Payton, DPT

• Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.