NPIMap

Individual provider Active NPI

Michael Dupre Pavy, MD

  • Hematology & Oncology Physician
  • Florence, SC
National Provider Identifier
1568405371
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
7882 Issued in SC
Practice address
401 E Cheves St
Suite 201
Florence, SC 29506-2615
Phone
(843) 777-7951
Fax
(843) 777-7981
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 7882 SC Primary

Addresses

Primary practice location

401 E Cheves St
Suite 201
Florence, SC 29506-2615

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7951

Other identifiers 3

IdentifierTypeStateIssuer
010038449OtherSCRAILROAD MEDICARE
078828MedicaidSC
8906404MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000767 SC Practitioner - Hematology/Oncology 3476697319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York at Buffalo School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 E Cheves St
Suite 201
Florence, SC 29506-2615
Phone (843) 777-7951

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7882SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Loris Seacoast Hospital CurrentSince Aug 1, 2016 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Aug 1, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Hematology & Oncology CurrentSince Aug 1, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 1, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Past Accepting new patients
Carolina Health Care Retail Pharmacy PastSince Jul 1, 1982 Accepting new patients

Locations

401 E Cheves St
Ste 201
Florence, SC 29506
Phone (843) 777-7951

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

Interoperability endpoints

  • Direct secure messaging: mpavy41106@directmcleodehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1568405371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7951",
            "fax_number": "843-777-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHEVES ST",
            "address_2": "SUITE 201",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062615",
            "telephone_number": "843-777-7951",
            "fax_number": "843-777-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVY",
        "first_name": "MICHAEL",
        "middle_name": "DUPRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "7882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010038449",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078828",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8906404",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.