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Deactivated NPI 1861412058 Deactivated / Inactive NPI Male Practitioner

Dr. John M Pav , MD

Specialist • Wheat Ridge, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Pav has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2006
NPI Deactivation Date June 19, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Pav, MD was a registered Specialist practicing in Wheat Ridge, CO. Throughout an active medical career spanning 19 years, Dr. Pav provided care at the practice location at 3280 WADSWORTH BLVD until profile deactivation on 2025-06-19.

Practice Location & Contact Primary Location

Practice Address

3280 Wadsworth Blvd
Suite 100

Wheat Ridge, CO 800334628

Telephone 3032328585
Fax 3032323304
Associated Practice Facility / Clinic
🏢 Mouchantat Plastic Surgery Pc Facility NPI 1255502753

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wheat Ridge, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
26 Specialists

Practicing in Wheat Ridge, CO (1204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CO 25678

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Richard Mouchantat , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1013937390

Doctor of Medicine (M.D.)

Krista Lopez , NP-C

Nurse Practitioner - Acute Care

NPI 1033842489

Nurse Practitioner (Certified)

Theresa Weston

Specialist

NPI 1427853407
Robert Furey

Physician Assistant - Surgical

NPI 1760653109

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2013

Registered at 3280 WADSWORTH BLVD, SUITE 100, WHEAT RIDGE, CO 800334628 (Tel: 3032328585)

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Updated Business Mailing Address September 04, 2013

Registered at 3280 WADSWORTH BLVD, SUITE 100, WHEAT RIDGE, CO 800334628 (Tel: 3032328585)

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Provider Name / Credentials Updated September 04, 2013

Recorded as JOHN PAV, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Specialist (License #25678 in CO)

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Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861412058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: September 04, 2013
Deactivation Date: June 19, 2025

Mailing Address

3280 Wadsworth Blvd, Suite 100

Wheat Ridge, CO 800334628

Phone: 3032328585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.