JAMES PATRICK GAVIN (NPI# 1609875491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609875491 |
| Entity Type | Individual |
| Full Name | JAMES PATRICK GAVIN |
| Credential | M.D. |
| Practice Address |
900 Madison Ave Suite 209 Bridgeport CT 06606-5534 |
| Practice Telephone | 2033350195 |
| Practice Fax Number | 2033357293 |
| Mailing Telephone | 2033350195 |
| Mailing Fax Number | 2033357293 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
033143 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001331438 | 05 |
| Street Address |
900 MADISON AVE SUITE 209 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936083 | Paul Barry Nussbaum | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1316322696 | Rachel Heggland | Nurse Practitioner | 900 Madison Ave, Ste 209, Bridgeport, CT 06606 | 2015-07-28 |
| 1548437148 | Aaron Matthew Dommu | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2008-05-13 |
| 1962679969 | Lisa M Spicer | Nurse Practitioner | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2008-05-09 |
| 1578512323 | Mahalia T Dejesus | Nurse Practitioner | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2006-05-09 |
| 1609825223 | Nephrology Associates, PC | Nurse Practitioner | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2006-05-09 |
| 1508831314 | Dva Healthcare Renal Care Inc | Clinic/Center | 900 Madison Ave, Ste 221, Bridgeport, CT 06606-5534 | 2006-02-23 |
| 1396737870 | Robert Chai Kim | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-08-19 |
| 1902805773 | Irwin David Feintzeig | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1003815887 | Mitchell Andrew Fogel | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053374751 | Nabeel Ghabra | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2006-04-11 |
| 1619946936 | James J Demarco | Internal Medicine | 1370 Johnson Ave, Ste 203, Bridgeport, WV 26330-1378 | 2006-03-17 |
| 1396744041 | William Allen Hunt | Internal Medicine | 900 Madison Ave Ste 209, Bridgeport, CT 06606-5534 | 2005-07-15 |
| 1215936083 | Paul Barry Nussbaum | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1386154201 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2017-10-05 |
| 1326337940 | David M Bennett | Internal Medicine | 900 Madison Ave Ste 209, Bridgeport, CT 06606 | 2011-04-04 |
| 1629223045 | Abdallahsassine Geara | Internal Medicine | 527 Medical Park Dr Ste 204, Bridgeport, WV 26330-9009 | 2008-11-26 |
| 1306928734 | Marilyn K Aday | Internal Medicine | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-10-19 |
| 1396737870 | Robert Chai Kim | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-08-19 |
| 1902805773 | Irwin David Feintzeig | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.