Thomas a Pavlovic MD SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036041714 Issued in IL

Legal business name

THOMAS A PAVLOVIC MD SC

Practice address

1875 Dempster St
#604
Park Ridge, IL 60068-1186

Phone

(847) 696-1200

Fax

(847) 696-1203

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Pavlovic, MDNPI 1619042785

Title

President

Phone

(847) 696-1200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Thomas Pavlovic, MD

  • Cardiovascular Disease Physician
  • Park Ridge, IL
  • NPI 1619042785
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Pavlovic, M.D.

  • Cardiovascular Disease Physician
  • Park Ridge, IL
  • NPI 1417025735
  Medicare reassignment Care Compare group NPD
• Richard Rosenbaum, MD

  • Cardiovascular Disease Physician
  • Park Ridge, IL
  • NPI 1841231321
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1851466932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "#604",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-696-1200",
            "fax_number": "847-696-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "#604",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-696-1200",
            "fax_number": "847-696-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A PAVLOVIC MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "PAVLOVIC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-696-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036041714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4901064",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041714",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thekey of Illinois, LLC
• Thekey of Illinois, LLC
• Anne Marie Thibault, MOT, OTR/L
• James L Thill, D.C.
• David G Thoele, M.D.
• Thomas E. Holmes LCSW
• Thomas L.C. Cottrell Jr, M.D., LTD.
• Deepa John Thomas
• Grace Thomas
• Lauralea Thomas, NP

• Cardiovascular Disease Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.