OrganizationActive
Mavie LLC
NPI 1366270365 · Family Medicine Physician · La Pine, OR
Provider details
- NPI number
- 1366270365
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ravikumar Patel, Partner(864) 905-7900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1220 Yoke Rd
La Pine, OR 97739-8981
Phone: (888) 711-5993
Fax: (888) 711-6216
Street-level locationGet directions
Mailing address
1686 E Wildwood Dr
Columbia City, IN 46725-8682
Additional practice locations (6)
- 2375 E Camelback Rd Ste 600Phoenix, AZ 85016-3493Phone: (888) 711-5993Fax: (888) 711-6216
- 6601 E Mcdowell Rd Apt 2032Scottsdale, AZ 85257-3172Phone: (216) 905-7900Fax: (864) 878-1528
- 943 W Overland Rd Ste 106Meridian, ID 83642-6541Phone: (888) 711-5993Fax: (888) 711-6216
- 555 Se Mlk Blvd Ste 105Portland, OR 97214-2595Phone: (888) 711-5993Fax: (888) 711-6216
- 180 M. University AveSte 270Provo, UT 84601-5648Phone: (888) 711-5993Fax: (888) 711-6216
- 5830 E 2nd St Ste 537Casper, WY 82609-4308Phone: (888) 711-5993Fax: (888) 711-6216
Registry dates
- Enumerated
- 2024-07-23
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.