WALTER STEPHEN PAVLIC (NPI# 1255822250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255822250 |
| Entity Type | Individual |
| Full Name | WALTER STEPHEN PAVLIC |
| Credential | RN |
| Practice Address |
755 S Beckham Ave Tyler TX 75701-1903 |
| Mailing Address |
111 Cross Timbers St Lufkin TX 75904-7586 |
| Practice Telephone | 9035321400 |
| Mailing Telephone | 9364654520 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
583938 | TX | Nursing Service Providers |
| Street Address |
755 S BECKHAM AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457454415 | American Home Medical Services | Durable Medical Equipment & Medical Supplies | 755 S Beckham Ave, Tyler, TX 75701 | 2006-09-06 |
| 1891329678 | Perla Garrido | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-03-02 |
| 1275166837 | Candace J Johnson | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-21 |
| 1427680982 | Emily Ann Phillps | Technician | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-12 |
| 1285266569 | Maria Isabel Rodriguez Mendez | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-05 |
| 1629609151 | Belva Hartsfield | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-03 |
| 1790315414 | Latifah Renee Watkins | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-22 |
| 1790315612 | Latrece Washington | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-20 |
| 1043840168 | Janet Arlene Williams | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-16 |
| 1972143303 | Andrea Garcia | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057972 | Lisa Kay Turner | Registered Nurse | 1519 N Bois D Arc Ave, Tyler, TX 75702-3363 | 2020-03-12 |
| 1417459504 | Jeanine Hensley | Registered Nurse | 4214 Colina Trl, Tyler, TX 75707-8003 | 2018-03-05 |
| 1851728588 | Anthonia Nkechi Ezeigwe | Registered Nurse | 3410 Lexington Dr, Tyler, TX 75701-6678 | 2013-09-26 |
| 1174866461 | Leslie L Isaacs | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2013-04-04 |
| 1497309702 | Natalie N Dowd | Registered Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2019-07-25 |
| 1831759562 | Ross Estep | Registered Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2019-06-14 |
| 1548749435 | Linda Ingham | Registered Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2018-08-10 |
| 1972003473 | Elaine Easley | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2018-02-20 |
| 1497255152 | Amanda Ranay Stone | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-02-19 |
| 1013417955 | Edgar Eugene Mclemore Sr. | Registered Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2018-02-16 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.