Individual provider Active NPI

Robert Alan Pavlik Jr., B.A., BC-HIS

  • Hearing Instrument Specialist
  • Strongsville, OH
National Provider Identifier
1508013665
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2668 Issued in OH
Practice address
12202 Pearl Rd
Strongsville, OH 44136-3411
Phone
(440) 572-9929
Fax
(440) 572-9928
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2668 OH Primary

Addresses

Primary practice location

12202 Pearl Rd
Strongsville, OH 44136-3411

Mailing address

12202 Pearl Rd
Strongsville, OH 44136-3411
Phone (440) 572-9929

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
2668OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1508013665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363411",
            "telephone_number": "440-572-9929",
            "fax_number": "440-572-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12202 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363411",
            "telephone_number": "440-572-9929",
            "fax_number": "440-572-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "credential": "B.A., BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.