Marie Pavese, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15484 Issued in AZ

Practice address

9630 S. San Marcos Dr. East
Goodyear, AZ 85338-7130

Phone

(623) 386-2830

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Marie Pavese Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1730438813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 S. SAN MARCOS DR. EAST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 S. SAN MARCOS DR. EAST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387130",
            "telephone_number": "623-386-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVESE",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "15484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D37430",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "PAVESE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kyle James Patterson, PHARMD
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• Jeffrey Paulus
• Jennifer Kaye Paweleck-Bellingrodt, PSY.D.
• Linda Gail Paxton
• Danielle Nicole Payne, CF-SLP
• Hiroko Pearce
• Rodney Pearson, BS, MSPC, LPC, D.MIN

• Specialist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.