DR. MICHAEL GAVIN (NPI# 1700085149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700085149 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GAVIN |
| Credential | M.D. |
| Practice Address |
185 Pilgrim Rd Palmer 217 Boston MA 02215-5324 |
| Practice Telephone | 6176678800 |
| Mailing Telephone | 6176678800 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
239198 | MA | Allopathic & Osteopathic Physicians |
| 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 |
| 1255365391 | Michael W Gavin | Internal Medicine | 1001 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87106-4713 | 2006-07-11 |
| 1669442620 | Michael Philip Gavin | Surgery | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-24 |
| Street Address |
185 PILGRIM RD PALMER 217 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193851 | David Eli Leeman | Internal Medicine | 185 Pilgrim Rd, Baker 4, Boston, MA 02215-5324 | 2005-09-07 |
| 1669084141 | Alyssa Jeanne Kuba | Registered Nurse | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-08-17 |
| 1780209890 | Sarah Hannah Lawrence | Registered Nurse | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-06-15 |
| 1740805829 | Elizabeth Kelsey Macneil | Nurse Practitioner | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-06-14 |
| 1912529306 | Juan Trinidad Ceja Solorio | Student in an Organized Health Care Education/Training Program | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-05-08 |
| 1891316477 | Kevin Buczkowski | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-05-05 |
| 1013536671 | Corey Paul Rainboth | Counselor | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-04-14 |
| 1821623042 | Justine Delpriore | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-03-09 |
| 1841825023 | Marie Ayabe | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-03-07 |
| 1093354466 | Katherine Germak | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1386165470 | Malik Bilal Ahmed | Internal Medicine | 800 Washington Street Mailbox #315, Boston, MA 02111 | 2017-06-29 |
| 1760867667 | Chi Hong Chau | Internal Medicine | 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 | 2015-07-21 |
| 1972916039 | Adam T Phillips | Internal Medicine | 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 | 2014-06-06 |
| 1760809818 | Subhasree Panchangam | Internal Medicine | 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 | 2014-03-26 |
| 1124463609 | Gaurav Gulati | Internal Medicine | 800 Washington St # 315, Boston, MA 02111-1552 | 2013-05-09 |
| 1255600300 | Steward Medical Group, Inc | Internal Medicine | 500 Boylston St, Boston, MA 02116-3740 | 2011-12-19 |
| 1942586334 | Nina Ghosh | Internal Medicine | 75 Peterborough St, Suite 401, Boston, MA 02215-4311 | 2011-10-29 |
| 1841515509 | Chris Wei-sen Pan | Internal Medicine | 1597 Washington St, Apt 503, Boston, MA 02118-1915 | 2010-04-06 |
| 1730349853 | Gerald J. Doyle, M.d., P.C. | Internal Medicine | 3 Hawthorne Pl, Boston, MA 02114-2334 | 2008-06-12 |
| 1639369713 | Aram V Chobanian | Internal Medicine | Boston Univ. School of Med., 715 Albany Street, Boston, MA 02118 | 2007-07-26 |
| Find all providers in BOSTON | ||||
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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.