MR. JAMES JOSEPH PAVAO PA-C NPI 1952490013

NPI Information

NPI: 1952490013
Provider Name: MR. JAMES JOSEPH PAVAO, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2145 HENRY TECKLENBURG DR
CHARLESTON, SC
ZIP 29414
Phone: (843) 723-8823
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MR. James Joseph Pavao, PA-C is a surgical physician assistant in Charleston, SC. MR. James Joseph Pavao, PA-C NPI is 1952490013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2145 HENRY TECKLENBURG DR
CHARLESTON, SC
ZIP 29414-893
Phone: (843) 723-8823

The enumeration date for this NPI number is 10/12/2006 and was last updated on 10/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	1582	MASSACHUSETTS	No
2	363AS0400X	Physician Assistant	Surgical	1325	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AA30289223	MEDICARE PIN	SOUTH CAROLINA
2	GP5004	OTHER	SOUTH CAROLINA	MEDICAID GROUP #
3	GP5005	OTHER	SOUTH CAROLINA	MEDICAID GROUP #
4	GP5006	OTHER	SOUTH CAROLINA	MEDICAID GROUP #
5	P00648630	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE ID
6	AA30285551	MEDICARE PIN	SOUTH CAROLINA
7	GP5007	OTHER	SOUTH CAROLINA	MEDICAID GROUP #
8	5551	OTHER	SOUTH CAROLINA	MEDICARE GROUP #
9	GP5072	OTHER	SOUTH CAROLINA	MEDICAID GROUP #
10	0733PA	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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