Individual
MR. JAMES JOSEPH PAVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1325
SC
363AS0400X
Surgical Physician Assistant
1582
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0733PA
—
SC
01
—
5551
MEDICARE GROUP #
SC
01
—
GP5004
MEDICAID GROUP #
SC
01
—
GP5005
MEDICAID GROUP #
SC
01
—
GP5006
MEDICAID GROUP #
SC
01
—
GP5007
MEDICAID GROUP #
SC
01
—
GP5072
MEDICAID GROUP #
SC
01
—
P00648630
RAILROAD MEDICARE ID
SC
Enumeration date
10/12/2006
Last updated
10/20/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up