Dr. Pavan Malik
Anesthesiology

Address: 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824
Phone: 2159556161

Dr. Pavan Malik (NPI# 1699791186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1699791186
Entity Type Individual
Full Name Dr. Pavan Malik
Credential MD, MBA
Gender Male
Practice Address 111 S. 11th Street
Suite 8490
Philadelphia
PA 19107-4824
Practice Telephone 2159556161
Practice Fax Number 2159235507
Mailing Address 111 S. 11th Street
Suite 8490
Philadelphia
PA 19107-4824
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-15
Last Update Date 2017-05-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207L00000X Anesthesiology Allopathic & Osteopathic Physicians C1-0007233 DE
Yes 207L00000X Anesthesiology Allopathic & Osteopathic Physicians MD418174 PA

Physician Overview

NPI 1699791186
PAC ID by PECOS 2163335613
Professional Enrollment ID I20031111000009
Full Name Pavan Malik
Organization Legal Name JEFFERSON UNIVERSITY PHYSICIANS
Phone Number 2159556161
Gender M
Credential MD
Graduation Year 1997
Primary Specialty ANESTHESIOLOGY
Secondary Specialties INTERVENTIONAL PAIN MANAGEMENT
Group Practice PAC ID 7911819180
Number of Group Practice Members 977
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390174 THOMAS JEFFERSON UNIVERSITY HOSPITAL

Office Location

Street Address 111 S. 11TH STREET
SUITE 8490
City PHILADELPHIA
State PA
Zip Code 19107-4824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730135393 Voichita Bar Ad Radiology 111 S. 11th Street, Bodine Center Jefferson Radiation Oncology Associates, Philadelphia, PA 19107 2006-05-25
1245774363 Kristin Bonstingl Registered Nurse 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 2016-12-08
1346793767 Deanna D. Bissell Nurse Anesthetist, Certified Registered 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4822 2016-08-02
1841686169 Andrew Song Student in an Organized Health Care Education/Training Program 111 S. 11th Street, Bodine Center G301, Philadelphia, PA 19107-4824 2015-04-14
1245624345 Gregor Manukian Student in an Organized Health Care Education/Training Program 111 S. 11th Street, Bodine Center G301, Philadelphia, PA 19107-4824 2015-03-26
1588071211 Francis J Anderson Jr. Nurse Anesthetist, Certified Registered 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 2014-07-15
1437495066 Marilyn M Piemontese Nurse Anesthetist, Certified Registered 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 2012-12-31
1538425921 Erica Border John Anesthesiology 111 S. 11th Street, Suite 8490, Philadelphia, PW 19107-4824 2012-04-10
1114217338 Ripal H. Patel Emergency Medicine 111 S. 11th Street, Philadelphia, PA 19107-4824 2011-04-08
1942521505 Allison Leigh Tan Radiology 111 S. 11th Street, Suite 3390, Philadelphia, PA 19107-4824 2010-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
1336630805 Yanina Glenda Nikolaus Student in an Organized Health Care Education/Training Program 117 South 11th Street, 204 Pavillion, Philadelphia, PA 19107 2018-05-21
1023515384 Lisa Michelle Friedland Student in an Organized Health Care Education/Training Program 1020 Sansom St, Suite 1651b, Philadelphia, PA 19107 2018-04-11
1407365257 Liberty Community Connections, Inc Community/Behavioral Health 112 N 8th St Ste 602, Philadelphia, PA 19107 2017-09-25
1669990297 Alishia Anne Kalos Psychologist 1211 Chestnut Street 5th Floor, Philadelphia, PA 19107 2017-09-04
1518487420 Michael Adam Glick Anesthesiology 111 South 11th Street, Suite 8290, Philadelphia, PA 19107 2017-06-21
1598294894 Summer Lewise Schultz Physical Medicine & Rehabilitation 25 South 9th St, Ground Floor, Philadelphia, PA 19107 2017-06-08
1912433632 Victor Eric Chen Student in an Organized Health Care Education/Training Program 111 S 11th St # G301, Philadelphia, PA 19107 2017-05-02
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518487420 Michael Adam Glick Anesthesiology 111 South 11th Street, Suite 8290, Philadelphia, PA 19107 2017-06-21
1316332802 Young May Cha Anesthesiology 149 N 21st St, Apt 3ff, Philadelphia, PA 19103-1113 2015-04-01
1144518481 Olubukola Opeyemi Olla Anesthesiology 401 S 16th St, Apt 4f, Philadelphia, PA 19146-1661 2011-07-20
1598056228 Myrna Mariano Tan Anesthesiology 100 East Lehigh Ave., Espiscopal Hospital, Philadelphia, PA 19125 2011-04-28
1780987610 Ar Medical PC Anesthesiology 6100 Woodland Ave, Philadelphia, PA 19142-3224 2010-12-15
1447490594 Zachariah Stanley Pederson Anesthesiology 1010 N Hancock St, #305, Philadelphia, PA 19123-2334 2009-03-03
1780833970 Mohammad M Keykhah Anesthesiology 245 N 15th St # Ms 310, Philadelphia, PA 19102-1101 2008-09-12
1467618132 Mahwish Raza Anesthesiology 111 Walnut Street, Philadelphia, PA 19107 2008-08-01
1427257955 Mario C Deangelis Anesthesiology 1418 Pemberton St, Philadelphia, PA 19146-2108 2007-07-14
1174732929 Nancy Chou Macgarvey Anesthesiology 36th and Spruce Streets, 8th Fl, Philadelphia, PA 19103 2007-05-21
Find all providers in PHILADELPHIA

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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