Active NPI
Jon-Pierre Pazevic, DO
- Emergency Medicine Physician
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0P0001250
- Practice address
- 21601 76TH Ave W
Edmonds, WA 98026-7507 - Phone
- (425) 640-4100
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0P0001250 | WA | Primary |
Addresses
Primary practice location
21601 76TH Ave W
Edmonds, WA 98026-7507
Mailing address
PO Box 34936
Dept 3028
Seattle, WA 98124-1936
Phone (888) 398-2473
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910861251 | Other | PREMERA BC | |
| 168565 | Other | WA L & I | |
| E24152 | Other | GROUP HEALTH | |
| PA0145 | Other | REGENCE BS | |
| 8119174 | Medicaid | WA | |
| A003 | Other | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2020
Hospital & facility affiliations
- Swedish Medical Center
- Swedish Issaquah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0P0001250 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Edmonds Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Emergency Medicine Physician
- Edmonds, WA
- NPI 1447484274
-
- Emergency Medicine Physician
- Redmond, WA
- NPI 1710288758
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Edmonds, WA
- NPI 1336181676
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1932141900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34936",
"address_2": "DEPT 3028",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241936",
"telephone_number": "888-398-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21601 76TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267507",
"telephone_number": "425-640-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZEVIC",
"first_name": "JON-PIERRE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "0P0001250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BC",
"identifier": "910861251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L & I",
"identifier": "168565",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "E24152",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "PA0145",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8119174",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.