DR. TIMOTHY ROBERT CAVANAGH (NPI# 1699803700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699803700 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ROBERT CAVANAGH |
| Credential | M.D. |
| Practice Address |
483 West Seed Farm Road Sacaton AZ 85147-0115 |
| Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
| Practice Telephone | 5205623321 |
| Mailing Telephone | 6025281200 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22073 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003220757 | Timothy Thomas Cavanagh Jr. | Pharmacist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2014-06-19 |
| Street Address |
483 WEST SEED FARM ROAD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-0115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| 1386141455 | Cora Lynn Janoe | Social Worker | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2018-04-06 |
| 1952803876 | Tiffany Julie Williams | Social Worker | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2018-03-07 |
| 1295237501 | Millie Kathryn Bushman | Social Worker | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2018-03-02 |
| 1558882795 | Megan Stanek | Counselor | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2017-06-28 |
| 1508303058 | Joshua Ulrich | Counselor | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2017-01-23 |
| 1083072706 | Patricia Beck | Counselor | 483 West Seed Farm Road, Sacaton, AZ 85147-0001 | 2016-02-09 |
| 1316244866 | Roland W Khoo | Pharmacist | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2011-02-18 |
| 1740425412 | Cynthia C Akason | Counselor | 483 West Seed Farm Road, Sacaton, AZ 85247 | 2008-12-10 |
| 1437326840 | Wesley Weeks | Counselor | 483 West Seed Farm Road, Gila River Health Care Corporation, Sacaton, AZ 85247-0038 | 2008-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1518580158 | Charlie Ginn | Counselor | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2020-05-18 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| 1720371396 | Crystal Amber Kunka | Family Medicine | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2011-05-16 |
| 1760649321 | Allen B. Lee | Family Medicine | 483 Seed Farm Rd., Sacaton, AZ 85147-0038 | 2008-05-21 |
| 1053413286 | Amish Sureshchandra Purohit | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-09-01 |
| 1588775498 | Roger F Villalba | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-08-31 |
| 1922035823 | Daphne Bichotte | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-06-27 |
| 1831149509 | Rosemarie Danielle Gotshall | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-05-11 |
| 1477526630 | Quynh Le | Family Medicine | 483 W. Seed Farm Rd., Gila River Health Care/hu Hu Kam Memorial Hospital, Sacaton, AZ 85147-0038 | 2006-02-08 |
| 1659341865 | Peter C Wagner | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-01-23 |
| 1639159593 | Joan E Song-nichols | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2006-01-18 |
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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.