Active NPI
Paul Edward Lavin, M.D.
- Neurology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301506531
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-2600
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD61544589 | WA | |
| Neurology Physician | 2084N0400X | A192666 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 4301506531 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
4000 Wellness Dr
Midland, MI 48670-1005
Phone (989) 839-3060
Other practice location 2
1611 NW 12th Ave Fl 33136
Miami, FL 33136-1005
Phone (305) 585-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA, OH, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Gull Rd
Kalamazoo, MI 49048-1644
Phone (269) 381-7380
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
5900 Byron Ctr Ave
Wyoming, MI 49519-9606
5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-3243
5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A192666 | CA | MD | Neurology Physician |
| 4301506531 | MI | MD | Neurology Physician |
| MD61544589 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Cep America - Neurology PC | Neurology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Neurology | Current | Accepting new patients |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Cep America - Neurology PC | Neurology | Current | Accepting new patients |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc. | Neurology | Current | Accepting new patients |
| Cep America - Neurology PC | Current | Accepting new patients | |
| Mount Carmel Healthproviders Two LLC | Neurology | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Neurology | Current | Accepting new patients |
| Promed Healthcare | Current | Accepting new patients | |
| Henry Ford Health System | Neurology | Current | Accepting new patients |
| Metropolitan Hospital | Current | Accepting new patients | |
| Cep America - Neurology PC | Neurology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Mount Carmel Healthproviders Two LLC | Current | Accepting new patients |
Locations (25 of 28)
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000
1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1541 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
1711 27th St
Ste 103A
Portsmouth, OH 45662
Phone (740) 356-6740
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
Interoperability endpoints
- plavin683099@hisp.ehr.sutterhealth.org
- plavin125664@mymichiganhealth.midirect.net
- plavin3494162@direct.trinity-health.org
- plavin1065801@direct.hfhs.org
Organizations & group practices 20
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.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
Neurology
-
- Neurology Physician
- Santa Barbara, CA
- NPI 1225569346
-
- Psychiatry Physician
- Silverdale, WA
- NPI 1669223830
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
Neurology
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
Neurology
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
- Neurology Physician
- Detroit, MI
- NPI 1669533865
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1922539139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2600"
}
],
"practiceLocations": [
{
"address_1": "4000 Wellness Dr",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486701005",
"country_code": "US",
"telephone_number": "989-839-3060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1611 NW 12th Ave Fl 33136",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-585-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVIN",
"first_name": "PAUL",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD61544589",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A192666",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301506531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.