Individual provider Active NPI

Jan Pavlinec, M.D.

  • Legal Medicine
  • Pompano Beach, FL
National Provider Identifier
1801981303
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MEO38469 Issued in FL
Practice address
1161 SE 22ND Ave
Pompano Beach, FL 33062-7045
Phone
(954) 785-7343
Fax
(954) 785-4636
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MEO38469 FL Primary

Addresses

Primary practice location

1161 SE 22ND Ave
Pompano Beach, FL 33062-7045

Mailing address

1161 SE 22ND Ave
Pompano Beach, FL 33062-7045
Phone (954) 785-7343

Other identifiers 1

IdentifierTypeStateIssuer
062051300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121001000191 FL Practitioner - Family Practice 2062660624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1161 SE 22 Ave
Pompano Beach, FL 33062-7045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MEO38469FLMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Pavlinec M.D., P.a. Legal Medicine CurrentSince Nov 21, 1981 Accepting new patients
Dr JS Ocean Medical Center Inc Past Accepting new patients

Locations

1161 SE 22nd Ave
Pompano Beach, FL 33062
Phone (954) 785-7343

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1801981303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SE 22ND AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627045",
            "telephone_number": "954-785-7343",
            "fax_number": "954-785-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SE 22ND AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627045",
            "telephone_number": "954-785-7343",
            "fax_number": "954-785-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLINEC",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "MEO38469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062051300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.