Matthew Joseph Pavelek, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6899 Issued in AZ

Practice address

3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227

Phone

(602) 393-1010

Fax

(602) 393-1011

NPI assigned

Jan 3, 2017

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1487199287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187227",
            "telephone_number": "602-393-1010",
            "fax_number": "602-393-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187227",
            "telephone_number": "602-393-1010",
            "fax_number": "602-393-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELEK",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE LICENSE",
            "identifier": "6899",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Paulin, O.D.
• Jennifer Paulley-Micue
• Linda Mary Paullin, ANP
• Leslie Kay Paulus, M.D., PH.D., F.A.C.P
• Gail Rogene Pauly, PT
• Cassidy Pavelich, LAC
• Sarabeth Roberto Pavelka, FNP-C
• Stephanie Marie Paver, RD
• Teresa M Pavese, MD
• Kathleen Pavy

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.