Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 064441 | GA |
N | 207RH0000X | Hematologist | MD431888 | PA |
Y | 207RH0000X | Hematologist | ME147761 | FL |
N | 207RH0003X | Hematology & Oncology | 55891 | AZ |
NPI | 1093899981 |
---|---|
Provider Name | John Pawloski |
First Address | Tampa, FL 33619-4578 |
Second Address | Phoenix, AZ 85004-2155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 24/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1019279400001 | (05) | PA |
119627 | ALABAMA MEDICAID (01) | AL |
1840102000 | (05) | WV |
2756281 | (05) | OH |
304832075A | (05) | GA |
52497585 001 | BCBS/GA (01) | GA |
602-01627 | BCBS/AL (01) | AL |
H41138 | (02) | NC |
P00925246 | RR MEDICARE (01) |