Max Louis Pavlock, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.012014 Issued in OH

Practice address

1255 W Main St
Bellevue, OH 44811-9015

Phone

(419) 484-5940

Fax

(419) 484-5915

NPI assigned

Mar 9, 2009

Last updated

Feb 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maxpavlock@bpsoh.allscriptsdirect.net

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.

• Brookville Hospital

  dba Brookville Physicians

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1578733093

  Family Medicine

  Medicare reassignment NPD
• Dubois Regional Medical Center

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1245410554
  Medicare reassignment NPD
• Brookville Hospital

  dba Penn Highlands Brookville

  • Rural Health Clinic/Center
  • Brookville, PA
  • NPI 1184333742

  Family Medicine

  NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • Pharmacy
  • Ridgway, PA
  • NPI 1366900458
  NPD
• Andalusia Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Andalusia, AL
  • NPI 1952356024
  NPD (past)

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1891936522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W MAIN ST",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119015",
            "telephone_number": "419-484-5940",
            "fax_number": "419-484-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W MAIN ST",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119015",
            "telephone_number": "419-484-5940",
            "fax_number": "419-484-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOCK",
        "first_name": "MAX",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO 1068",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014787",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orchard Grove Healthcare Group, LLC (Orchard Grove)
• Orthopaedic Institute of Ohio, Inc
• Paragon Rehabilitation
• Sandra Parrella, LMT
• Namrata Nareshkumar Patel
• Lillian Mae Pence, LSW
• Christopher Andrew Pensiero, DPM
• Nancy Pickens, SLP
• Mark David Pifer, O.D.
• Lauren Pippin, MSW, LSW

• Family Medicine Physician in Bellevue, OH
• Providers in Bellevue, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.