Rudolph Pavlesich III, DNP, CRNA, FNP-BC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

074985-23 Issued in NH

Practice address

16 Hospital Rd
Plymouth, NH 03264-1126

Phone

(603) 536-1120

NPI assigned

Jan 22, 2015

Last updated

May 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Associates Professional Association

  • Anesthesiology Physician
  • Concord, NH
  • NPI 1881791150

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Littleton Hospital Association

  dba Littleton Regional Healthcare

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Medicare reassignment NPD
• North American Partners in Anesthesia New Hampshire LLP

  • Anesthesiology Physician
  • Nashua, NH
  • NPI 1306838701
  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  NH, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Songbird Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • St Augustine, FL
  • NPI 1386161099
  Authorized official Same address or phone
• Littleton Hospital Association

  dba LRH DME

  • Durable Medical Equipment & Medical Supplies
  • Littleton, NH
  • NPI 1174398846
  NPD
• Littleton Hospital Association

  dba Littleton Urgent Care

  • Urgent Care Clinic/Center
  • Littleton, NH
  • NPI 1255805347
  NPD
• McGreevy Neurohealth Palm Coast

  • Neurology Physician
  • Palm Coast, FL
  • NPI 1043670532
  NPD (past)
• Sunbelt Visiting Primary Care LLC

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1598278707
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1609265065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 STEVENS HILL RD",
            "city": "NOTTINGHAM",
            "state": "NH",
            "postal_code": "032904802",
            "telephone_number": "904-535-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641126",
            "telephone_number": "603-536-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735148",
            "country_code": "US",
            "telephone_number": "904-276-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLESICH",
        "first_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DNP, CRNA, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2017019797",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "281215",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9178468",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "074985-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moenique Parris
• Corrie-Nicole Parsons
• Taylor May Patch
• Alyssa Kathleen Pattison, MOT, OTR/L
• Montanna Joan Paulhus
• Cynthia E Pawlowicz, APRN
• Peaceful Pathways Therapy, PLLC
• Michelle N Peare, LADC
• Pemi Baker Regional School District
• Pemi-Baker Hospice & Home Health

• Certified Registered Nurse Anesthetist in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Certified Registered Nurse Anesthetist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.