GORDON KYLE LAVIN (NPI# 1306085212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306085212 |
| Entity Type | Individual |
| Full Name | GORDON KYLE LAVIN |
| Credential | M.D. |
| Practice Address |
820 S Boylan Ave 2 East Raleigh NC 27603-2246 |
| Practice Telephone | 9197335540 |
| Practice Fax Number | 9197339020 |
| Mailing Telephone | 9197335540 |
| Mailing Fax Number | 9197339020 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
24925 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8951186 | 05 |
| Street Address |
820 S BOYLAN AVE 2 EAST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093721714 | Jacqueline Gaillard Gibson | Physician Assistant | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2006-08-01 |
| 1477870608 | Elizabeth F Lansing | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2010-04-28 |
| 1972745453 | George Timothy Dennard | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2009-03-31 |
| 1275742579 | Thomas Matthews Haizlip | Psychiatry & Neurology | 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 | 2007-05-22 |
| 1760690705 | Tanya Rose Cheevers | Psychiatry & Neurology | 820 S Boylan Ave, Mcbryde Bldg., Raleigh, NC 27603-2246 | 2007-05-21 |
| 1740498286 | Judy Neal Bennett | Pharmacist | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-05-18 |
| 1124246111 | Nicole Francoise Wolfe | Psychiatry & Neurology | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-23 |
| 1316164254 | Dorothea Dix Hospital | General Acute Care Hospital | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-20 |
| 1861526113 | James Kraig Dixon | Social Worker | 820 S Boylan Ave, Raleigh, NC 27699-0001 | 2007-03-16 |
| 1265571277 | Dorothea Dix Hospital | Psychiatric Residential Treatment Facility | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237545 | North Raleigh Mental Health and Wellness, Pllc | Psychiatry & Neurology | 920d Paverstone Dr, Raleigh, NC 27615-4701 | 2017-10-25 |
| 1679978704 | J Lauren Suggs | Psychiatry & Neurology | 920 Paverstone Dr # D, Raleigh, NC 27615-4723 | 2014-10-31 |
| 1790196988 | Julia Tan | Psychiatry & Neurology | Unc Wakebrook 107 Sunnybrook Rd, Raleigh, NC 27610 | 2014-05-10 |
| 1912240425 | Lauren Michelle Townes Isbell | Psychiatry & Neurology | 1520 Sunday Dr Ste 320, Raleigh, NC 27607 | 2013-04-03 |
| 1073884789 | Melange Health Solutions, LLC | Psychiatry & Neurology | 4805 Green Rd, Suite 103, Raleigh, NC 27616-2848 | 2012-01-26 |
| 1811283500 | Michelle Samson Maust | Psychiatry & Neurology | 1130 Situs Ct Ste 190, Raleigh, NC 27606-5001 | 2011-06-22 |
| 1285928440 | Asa Lee Cordle | Psychiatry & Neurology | 3900 Browning Pl Ste 201, Raleigh, NC 27609-6530 | 2011-06-06 |
| 1477878437 | Fathima Farheen Reyman | Psychiatry & Neurology | 2321 Blue Ridge Rd Ste 102, Raleigh, NC 27607-6453 | 2010-04-02 |
| 1205158664 | North Raleigh Mental Health, Pa | Psychiatry & Neurology | 920 Paverstone Drive, Suite D, Raleigh, NC 27615 | 2010-02-25 |
| 1356522809 | Richard H Weisler | Psychiatry & Neurology | 700 Spring Forest Rd, Ste 125, Raleigh, NC 27609-9124 | 2007-11-26 |
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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.