MR. BRUCE ALAN CAVANAUGH


Address: 9987 Village Green Dr, Woodstock, MD 21163-1155
Phone: 4435702782

MR. BRUCE ALAN CAVANAUGH (NPI# 1689633414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689633414
Entity Type Individual
Full Name MR. BRUCE ALAN CAVANAUGH
Credential PA-C
Practice Address 9987 Village Green Dr
Woodstock
MD 21163-1155
Practice Telephone 4435702782
Practice Fax Number 4435702782
Mailing Telephone 4435702782
Mailing Fax Number 4435702782
Enumeration Date 2006-03-21
Last Update Date 2016-04-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant C002022 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
C002022 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9987 VILLAGE GREEN DR
City WOODSTOCK
State MD
Zip Code 21163-1155

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NPI Name Taxonomy Address Enumeration
1831680958 Bestcare Home Inc In Home Supportive Care 10617 Duthess Way, Woodstock, MD 21163 2018-05-24
1073973897 Stephanie P. Bathurst Marriage & Family Therapist 21 Deep Powder Court, Woodstock, MD 21163 2016-03-07
1508201153 American Advanced Nursing and Rehab Physical Therapist 10708 Croydon Ct, Woodstock, MD 21163 2013-05-08
1578856928 Faithe Maria Braznell Pharmacist 3319 Peddicoat Court, Woodstock, MD 21163 2011-05-18
1497070452 William Henry Gregory Jr. Counselor 9985 Village Green Drive, Woodstock, MD 21163 2010-04-02
1225014459 Stephan A Bart Sr. Family Medicine 10403 Wetherburn Rd, Woodstock, MD 21163 2005-12-20
1184138737 Best Healthcare Agency, Inc Home Health 3507 Timber Crest Ln, Woodstock, MD 21163-1055 2017-11-18
1811526742 Domonique Parkes Student in an Organized Health Care Education/Training Program 17 Deep Powder Ct, Woodstock, MD 21163-1110 2020-04-03
1477816445 Aroon Suansilppongse Psychiatry & Neurology 1 Deep Powder Ct, Woodstock, MD 21163-1110 2012-06-24
1154513638 Foot Savers Inc. Nurse Practitioner 2815 Granite Rd, Woodstock, MD 21163-1127 2007-08-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841379476 Jamie Gillis Physician Assistant 900 Towe Lake Parkway, Suite 400, Woodstock, GA 30189 2006-11-03
1699171223 Julie Lynn Banks Physician Assistant 250 Parkbrooke Pl, Suite 300, Woodstock, GA 30189-6400 2014-11-10
1972915395 Woodstock Family Practice and Urgent Care Physician Assistant 310 Gold Creek Trl, Woodstock, GA 30188-5435 2014-05-21
1669883971 Jenna M Raju Physician Assistant 2000 Lake Ave, Woodstock, IL 60098-7401 2014-05-09
1205002151 Nicole T Rivera Physician Assistant 900 Towne Lake Pkwy, Suite 308, Woodstock, GA 30189-1602 2008-05-01
1154591543 Angela M Emmons Physician Assistant 759 S Main St, Suite 300, Woodstock, VA 22664-1127 2008-03-03
1275756207 Patrick M. Fleming Physician Assistant 203 Woodpark Pl, Bldg. C, Woodstock, GA 30188-3705 2007-04-10
1922133768 Georgia Urgent Care, - Alpharetta, LLC Physician Assistant 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 2007-02-22
1316003577 Tomas J Chao Physician Assistant 100 Stoneforest Dr, Suite 320, Woodstock, GA 30189-4880 2006-12-29
1265534895 Eugene Dougherty Physician Assistant 404 Zena Rd, Woodstock, NY 12498-2626 2006-09-03
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Competitor

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City WOODSTOCK
Zip Code 21163

Improve Information

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Dataset Information

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.

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