Charles Edward Pavey

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0396430001 Issued in MI

Legal business name

CHARLES EDWARD PAVEY

Practice address

18822 Monica Dr
Clinton TWP, MI 48036-4204

Phone

(586) 469-0622

Fax

(586) 469-1392

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Edward Pavey

Title

President

Phone

(586) 469-0622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MedCare Service Doing business as

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1417065327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18822 MONICA DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364204",
            "telephone_number": "586-469-0622",
            "fax_number": "586-469-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18822 MONICA DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480364204",
            "telephone_number": "586-469-0622",
            "fax_number": "586-469-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES EDWARD PAVEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "PAVEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-469-0622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "0396430001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrianna Chadzipappas
• Chakradhar C Reddy MD PC
• Ricardo Chalela, M.D.
• Alyssa Monique Chambers
• Changing Perceptions Therapy
• Russell C Chavey, M.D.
• Patrice Cheatham
• Suzanne M Check, CRNA
• Children'S Eye Care PC
• Children'S Hospital of Michigan

• Durable Medical Equipment & Medical Supplies in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.