Russel Pavkov, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

146 Issued in OH

Practice address

4333 County Road 207
Millerburg, OH 44654-9127

Phone

(330) 907-9101

NPI assigned

May 11, 2012

Last updated

May 11, 2012By 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

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.

• Bunker Hill Chiropractic LLC

  • Chiropractor
  • Millersburg, OH
  • NPI 1679832430
  Authorized official Same address or phone
• Sterling Chiropractic Center, Inc.

  • Chiropractor
  • Sterling, OH
  • NPI 1902071723
  NPD (past)

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1417216318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 COUNTY ROAD 207",
            "city": "MILLERBURG",
            "state": "OH",
            "postal_code": "446549127",
            "telephone_number": "330-907-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 COUNTY ROAD 207",
            "city": "MILLERBURG",
            "state": "OH",
            "postal_code": "446549127",
            "telephone_number": "330-907-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVKOV",
        "first_name": "RUSSEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Holmes Local Schools

• Chiropractor in Millerburg, OH
• Providers in Millerburg, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.