MICHAEL PHILIP GAVIN (NPI# 1669442620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669442620 |
| Entity Type | Individual |
| Full Name | MICHAEL PHILIP GAVIN |
| Credential | MD |
| Practice Address |
141 Hospital Dr Salem KY 42078-8043 |
| Mailing Address |
141 Hospital Dr Po Box 347 Salem KY 42078-8043 |
| Practice Telephone | 2709883298 |
| Practice Fax Number | 2709884642 |
| Mailing Telephone | 2709883298 |
| Mailing Fax Number | 2709884642 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 21359 | KY | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 21359 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64213598 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194818922 | Michael Gavin | Dentist | 1637 Main St, Onalaska, WI 54650-2853 | 2006-10-02 |
| 1457462228 | Michael Kevin Gavin | Dentist | 5680 Lake Murray Blvd Ste B, La Mesa, CA 91942-1905 | 2006-08-31 |
| 1467741686 | Michael Joseph Gavin | Internal Medicine | 167 Sullys Trl, Ste 100, Pittsford, NY 14534-4567 | 2011-03-29 |
| 1700085149 | Michael Gavin | Internal Medicine | 185 Pilgrim Rd, Palmer 217, Boston, MA 02215-5324 | 2007-07-16 |
| 1255365391 | Michael W Gavin | Internal Medicine | 1001 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87106-4713 | 2006-07-11 |
| Street Address |
141 HOSPITAL DR |
| City | SALEM |
| State | KY |
| Zip Code | 42078-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184730 | Demetrius L Patton | Specialist | 141 Hospital Dr, Salem, KY 42078-8043 | 2005-06-16 |
| 1538696356 | Justin J Lewis | Occupational Therapy Assistant | 141 Hospital Dr, Ste 102, Salem, KY 42078-8043 | 2017-05-11 |
| 1558784769 | Kristee Croft Shoulders | Registered Nurse | 141 Hospital Dr, Salem, KY 42078-8043 | 2014-01-23 |
| 1649430778 | Terry W Boone | Physician Assistant | 141 Hospital Dr, Salem, KY 42078-8043 | 2008-06-12 |
| 1669566170 | Salem Clinic Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-10-02 |
| 1902822661 | Deborah B Dutton | Nurse Practitioner | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-07-14 |
| 1538127378 | Ghassan Yazigi | Family Medicine | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-05-02 |
| 1396708566 | James Todd Bergin | Specialist | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-04-10 |
| 1588644496 | Tri-rivers Healthcare Pllc | Physician Assistant | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760523120 | Shannon Federico | Pharmacist | 119 East Main St., Salem, KY 42078 | 2007-02-09 |
| 1730275892 | Michael L Keller | Pharmacist | 141 Hospital Drive, Salem, KY 42078 | 2006-10-05 |
| 1629597638 | Misty Jones Turmero | Pharmacist | 119 East Main St., Salem, KY 42078 | 2017-09-12 |
| 1740689876 | Codie L Parks | Pharmacist | 131 Hospital Drive, Salem, KY 42078 | 2014-08-14 |
| 1265481022 | Crittenden County Hospital | Clinic/Center | 117 E Main St, Salem, KY 42078 | 2006-05-09 |
| 1891859799 | R V Bharne Psc | Family Medicine | 501 N Hayden Avenue, Salem, KY 42078-0376 | 2006-12-22 |
| 1215072020 | Bradley A Boone | Pharmacist | 141hospital Dr, Clinic Pharmacy, Salem, KY 42078-0498 | 2007-02-20 |
| 1073162475 | Lori Guill | Speech-Language Pathologist | 508 N Hayden Ave, Salem, KY 42078-8008 | 2019-09-09 |
| 1366543837 | Orion Salem LLC | Skilled Nursing Facility | 509 N Hayden Ave, Salem, KY 42078-8008 | 2006-09-26 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| Find all providers in zip 42078 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821342429 | Stephanie Nicole Reedy | General Practice | 2515 Liberty St Ne, Salem, OR 97301-8386 | 2012-11-04 |
| 1427207265 | John M Vargo | General Practice | 4305 Camas Ct Ne, Salem, OR 97305-2207 | 2008-09-17 |
| 1275797417 | Lagrand Johnson | General Practice | 326 Highway 6, Salem, UT 84653-5620 | 2008-07-16 |
| 1235392242 | John Mark Pozar | General Practice | 998 Capitol St Ne, Salem, OR 97301-1201 | 2008-07-09 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1104028364 | Ivan Dassenko | General Practice | 6810 Canyon St Se, Salem, OR 97317-9024 | 2007-06-01 |
| 1073668935 | Terence H Young | General Practice | 1205 Wallace Rd Nw, Salem, OR 97304-3007 | 2007-01-23 |
| 1639243348 | Thomas R Howard | General Practice | 567 Salem Quinton Rd, Ste C, Salem, NJ 08079-1255 | 2006-11-17 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1316456965 | Anton Dubrick Md Sc | General Practice | 420 W Schwartz St, Salem, IL 62881-1552 | 2017-09-27 |
| Find all providers in SALEM | ||||
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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.