Organization Active NPI

Panvelkar and Panvelkar, LLC

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1639232291
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
GA-037307 Issued in GA
Legal business name
PANVELKAR AND PANVELKAR, LLC
Practice address
626 23Rd Street
Columbus, GA 31904-8829
Phone
(706) 660-1177
Fax
(706) 660-1098
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Authorized official

Name
Dr. Gopal Naique Panvelkar, M.D.
Title
Physician
Phone
(706) 660-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X GA-037307 GA Primary

Addresses

Primary practice location

626 23Rd Street
Columbus, GA 31904-8829

Mailing address

626 23Rd Street
Columbus, GA 31904-8829
Phone (706) 660-1177

Other identifiers 1

IdentifierTypeStateIssuer
000581039AMedicaidGA

National Provider Directory

National Provider Directory

Locations

626 23rd St
Columbus, GA 31904
Phone (706) 660-1177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1639232291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 23RD STREET",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048829",
            "telephone_number": "706-660-1177",
            "fax_number": "706-660-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 23RD STREET",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048829",
            "telephone_number": "706-660-1177",
            "fax_number": "706-660-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANVELKAR AND PANVELKAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "PANVELKAR",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "NAIQUE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-660-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "GA-037307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000581039A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.