Organization Active NPI

H. Eduardo Pavon M.D.

  • Rural Acute Care Hospital
  • Cadiz, KY
National Provider Identifier
1487976163
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
LL441 Issued in KY
Legal business name
H. EDUARDO PAVON M.D.
Practice address
298 Main St
Suite 2
Cadiz, KY 42211-9155
Phone
(270) 522-6684
Fax
(270) 522-6673
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Dr. Hector Eduardo Pavon, M.D.
Title
Owner
Phone
(270) 522-6684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X LL441 KY Primary

Addresses

Primary practice location

298 Main St
Suite 2
Cadiz, KY 42211-9155

Mailing address

298 Main St
Suite 2
Cadiz, KY 42211-9155
Phone (270) 522-6684

Other identifiers 1

IdentifierTypeStateIssuer
64994411MedicaidKY

National Provider Directory

National Provider Directory

Locations

298 Main St
Cadiz, KY 42211
Phone (270) 522-6684

298 Main St
#2
Cadiz, KY 42211
Phone (270) 522-6684

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1487976163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 MAIN ST",
            "address_2": "SUITE 2",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119155",
            "telephone_number": "270-522-6684",
            "fax_number": "270-522-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MAIN ST",
            "address_2": "SUITE 2",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119155",
            "telephone_number": "270-522-6684",
            "fax_number": "270-522-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. EDUARDO PAVON M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "PAVON",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-522-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "KY",
            "license": "LL441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64994411",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.