Active NPI
Ronald P. Pavelka, M.D.
- Orthopaedic Surgery Physician
- Munster, IN
National Provider Identifier
1417993155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01020501A
- Practice address
- 7905 Calumet Ave
Hammond Clinic LLC
Munster, IN 46321-1215 - Phone
- (219) 836-7214
- Fax
- (219) 836-5030
- NPI assigned
- Jun 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01020501A | IN | Primary |
Addresses
Primary practice location
7905 Calumet Ave
Hammond Clinic LLC
Munster, IN 46321-1215
Mailing address
7905 Calumet Ave
Hammond Clinic LLC
Munster, IN 46321-1215
Phone (219) 836-7214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01020501A | IN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417993155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 CALUMET AVE",
"address_2": "HAMMOND CLINIC LLC",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211215",
"telephone_number": "219-836-7214",
"fax_number": "219-836-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 CALUMET AVE",
"address_2": "HAMMOND CLINIC LLC",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211215",
"telephone_number": "219-836-7214",
"fax_number": "219-836-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVELKA",
"first_name": "RONALD",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01020501A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.