DRS. Pavlick and Reppas, Inc.

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

35.065469 Issued in OH

Legal business name

DRS. PAVLICK AND REPPAS, INC.

Practice address

571 Boston Mills Rd
Hudson, OH 44236-1164

Phone

(330) 655-9700

Fax

(330) 342-9847

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Matthew D Pavlick, DDS MDNPI 1568796191

Title

President

Phone

(330) 678-6564

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Matthew David Pavlick, D.D.S., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Kent, OH
  • NPI 1568796191
  NPD (past) Authorized official

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1942489570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BOSTON MILLS RD",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361164",
            "telephone_number": "330-655-9700",
            "fax_number": "330-342-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 BOSTON MILLS RD",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361164",
            "telephone_number": "330-655-9700",
            "fax_number": "330-342-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. PAVLICK AND REPPAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "PAVLICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-678-6564",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "35.065469",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "OH",
            "license": "35.065469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0743902",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Dolin-Stevens
• Joseph A Dombroski, D.O.
• Prescilla C Dorsey, LPC
• Kristen Louise Dowdell, PA-C
• Freddy B Drews, MD
• Dawn Dumm, PC
• Haley E Dunn, LPCC
• Eatrightfitness LLC
• John Eberling, MBA
• Edwards Health Care Services, Inc.

• Plastic Surgery Physician in Hudson, OH
• Providers in Hudson, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.