Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386627099 Deactivated / Inactive NPI Male Practitioner

Dr. Joel Mitchell Vavich , MD

Pediatrics • Lake Jackson, TX

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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. Joel Vavich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2005
NPI Deactivation Date September 17, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Joel Vavich, MD was a registered Pediatrics practicing in Lake Jackson, TX. Throughout an active medical career spanning 14 years, Dr. Vavich provided care at the practice location at 135 OYSTER CREEK DR until profile deactivation on 2019-09-17.

Practice Location & Contact Primary Location

Practice Address

135 Oyster Creek Dr
Suite B

Lake Jackson, TX 775664183

Telephone 9792979086
Fax 9792976475
Associated Practice Facility / Clinic
🏢 Lillian D Lockett Md Pa Facility NPI 1225321441

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lake Jackson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Lake Jackson, TX (5841 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX G1793

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Stevani Crowley , RN, FNP

Nurse Practitioner - Family

NPI 1245736388

Registered Nurse, Family Nurse Practitioner

Dr. Krysta Thompson , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1366007551

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated September 17, 2019

Record deactivated on September 17, 2019

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Updated Practice Location April 30, 2019

Registered at 115 ABNER JACKSON PKWY STE C, LAKE JACKSON, TX 775665157 (Tel: 9792979086)

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Updated Business Mailing Address April 30, 2019

Registered at 115 ABNER JACKSON PKWY STE C, LAKE JACKSON, TX 775665157 (Tel: 9792979086)

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2007

Registered at 135 OYSTER CREEK DR, SUITE B, LAKE JACKSON, TX 775664183 (Tel: 9792979086)

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Updated Business Mailing Address July 16, 2007

Registered at 135 OYSTER CREEK DR, SUITE B, LAKE JACKSON, TX 775664183 (Tel: 9792979086)

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Provider Name / Credentials Updated July 16, 2007

Recorded as JOEL VAVICH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Pediatrics (License #G1793 in TX)

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Initial NPI Registration & Enumeration November 28, 2005

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: 1386627099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2005
Last Update: July 16, 2007
Deactivation Date: September 17, 2019

Mailing Address

135 Oyster Creek Dr, Suite B

Lake Jackson, TX 775664183

Phone: 9792979086

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.