Organization Active NPI

Anthony Pavone DO PC

  • Otolaryngology Physician
  • Flint, MI
National Provider Identifier
1972608693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5101006095 Issued in MI
Legal business name
ANTHONY PAVONE DO PC
Practice address
5051 Villa Linde Pkwy Ste 29
Flint, MI 48532-3449
Phone
(810) 732-4860
Fax
(810) 230-7764
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anthony A Pavone, DONPI 1568574119
Title
Owner
Phone
(810) 732-4860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 5101006095 MI Primary

Addresses

Primary practice location

5051 Villa Linde Pkwy Ste 29
Flint, MI 48532-3449

Mailing address

5155 Norko Dr
Flint, MI 48507-3021
Phone (810) 230-7532

National Provider Directory

National Provider Directory

Locations

3027 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 953-2900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972608693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-230-7532",
            "fax_number": "810-230-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 VILLA LINDE PKWY STE 29",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323449",
            "telephone_number": "810-732-4860",
            "fax_number": "810-230-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY PAVONE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAVONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-732-4860",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101006095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.