CAVAN R IRVINE (NPI# 1164971529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164971529 |
| Entity Type | Individual |
| Full Name | CAVAN R IRVINE |
| Credential | PA-C |
| Practice Address |
1701 Innovation Dr York PA 17408-8815 |
| Practice Telephone | 7179880000 |
| Practice Fax Number | 7177825716 |
| Mailing Telephone | 7179880000 |
| Mailing Fax Number | 7177825716 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA059489 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-06694 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE | 615076 | 01 |
| PA | 1033908240001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Monument Rd Ste 190, York, PA 174035059 | 7178516454 | 7178511665 |
| 500 University Dr, Hershey, PA 170332360 | 7175318407 | 7175313664 |
| Street Address |
1701 INNOVATION DR |
| City | YORK |
| State | PA |
| Zip Code | 17408-8815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467957 | Ricardo A Perez | Internal Medicine | 1701 Innovation Dr, York, PA 17408-8815 | 2005-09-13 |
| 1255955837 | Jamal Benson | Physician Assistant | 1701 Innovation Dr, York, PA 17408-8815 | 2020-05-30 |
| 1053935726 | Pinnacle Health Medical Services | Pediatrics | 1701 Innovation Dr, York, PA 17408-8815 | 2020-05-29 |
| 1598390841 | Upmc Memorial | General Acute Care Hospital | 1701 Innovation Dr, York, PA 17408-8815 | 2020-03-06 |
| 1083265318 | Kati A Masters | Registered Nurse | 1701 Innovation Dr, York, PA 17408-8815 | 2019-09-27 |
| 1306491147 | Jonathan Aaron Miknis | Nurse Practitioner | 1701 Innovation Dr, York, PA 17408-8815 | 2019-08-08 |
| 1790244259 | Nicole Bennett Lawrence | Dietitian, Registered | 1701 Innovation Dr, York, PA 17408-8815 | 2019-03-14 |
| 1386170983 | Molly E Mccoy | Internal Medicine | 1701 Innovation Dr, York, PA 17408-8815 | 2017-05-03 |
| 1235664186 | Upmc Memorial | Clinic/Center | 1701 Innovation Dr, York, PA 17408-8815 | 2017-04-28 |
| 1063945707 | Upmc Memorial | General Acute Care Hospital | 1701 Innovation Dr, York, PA 17408-8815 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245362409 | Bruce Dietterick | Dentist | 1589 Carlisle Road, York, PA 17408 | 2007-03-12 |
| 1306805817 | Adelle Grace Kurtz | Family Medicine | 1550 Rodney Road, York, PA 17408 | 2006-03-22 |
| 1639159924 | James J. Sullivan | Rehabilitation Practitioner | 1850 Normandie Drive, York, PA 17408 | 2006-01-20 |
| 1912998154 | Linda Bachman | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2005-11-04 |
| 1447864350 | Jason Charles Propst | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2020-09-08 |
| 1487289468 | Amy J Strausbaugh | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2020-03-10 |
| 1063981686 | Wellspan Medical Group | Family Medicine | 717 Town Center Drive, York, PA 17408 | 2018-11-14 |
| 1861702466 | Kenneth Charles Baker Jr. | Chiropractor | 1785 Loucks Rd, York, PA 17408 | 2010-10-15 |
| 1811149222 | Robert Raymond Wisman | Physical Therapy Assistant | 1770 Barley Rd, York, PA 17408 | 2008-10-16 |
| 1902006455 | Preeti Meghnath Murudkar | Family Medicine | 1550 Rodney Road, York, PA 17408 | 2007-07-23 |
| Find all providers in zip 17408 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053956326 | Cassidy Marie Labrec | Physician Assistant | 4544 River Shore Dr, York, SC 29745-7631 | 2019-11-11 |
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1326604505 | Pinnacle Health Medical Services | Physician Assistant | 1703 Innovation Drive, York, PA 17408-8815 | 2019-05-14 |
| 1144263005 | Kevin M Gold | Physician Assistant | 325 S. Belmont Street, York, PA 17403-2608 | 2006-06-14 |
| 1447298377 | Justin Scott Mulbery | Physician Assistant | 720 S Hutchins Ave, York, NE 68467-4020 | 2006-06-03 |
| 1295710788 | Kristin A O'brien | Physician Assistant | 2350 Freedom Way Ste 202, York, PA 17402-8202 | 2005-12-07 |
| 1265433205 | David Roland Gann | Physician Assistant | 2251 Eastern Blvd, Va Clinic, York, PA 17402-2917 | 2005-08-01 |
| 1346241387 | Gretchen Fink Chronister | Physician Assistant | 228 Saint Charles Way Ste 200, York, PA 17402-4661 | 2005-08-01 |
| 1659979672 | Kaila Jane Hunter | Physician Assistant | 1855 Powder Mill Rd, York, PA 17402-4723 | 2020-10-12 |
| 1730706433 | Ian Godfrey | Physician Assistant | 2149 S Queen St, York, PA 17403-4845 | 2020-06-29 |
| Find all providers in YORK | ||||
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| 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.