MICHAEL DAVID KAVANAGH (NPI# 1710513742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710513742 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID KAVANAGH |
| Credential | MD |
| Practice Address |
251 E Huron St Chicago IL 60611-3055 |
| Practice Telephone | 3129262000 |
| Mailing Telephone | 3129262000 |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 125.075596 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655740 | Michael Andrew Kavanagh | Orthopaedic Surgery | 224d Cornwall St Nw Ste 204, Leesburg, VA 20176-2700 | 2005-11-04 |
| 1619032497 | Michael P Kavanagh | Orthotist | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2006-12-22 |
| Street Address |
251 E HURON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169636 | George Chiampas | Emergency Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2005-07-29 |
| 1316544067 | Valerie E Musolf | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-06 |
| 1326645193 | Colleen Nash | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-05 |
| 1841807286 | Sara Schussler | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-29 |
| 1679188114 | James Andrew Wong | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1740895218 | Ryan Twilley | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1245845031 | Austin Tucker | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-09 |
| 1144834656 | Alana Telfer | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-02 |
| 1386257277 | Ashley Elizabeth Mathews | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-3055 | 2020-08-28 |
| 1982216776 | Thwisha Sabloak | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-2908 | 2020-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1639697485 | Jason Alexander Strelzow | Orthopaedic Surgery | 5841 S Maryland Ave Rm S256, Chicago, IL 60637-1443 | 2017-08-31 |
| 1750732277 | Ian Maclean | Orthopaedic Surgery | 1650 W. Harrison St Suite 466 Atrium, Chicago, IL 60612 | 2016-06-27 |
| 1285084046 | South Chicago Orthopedic Specialists, Sc | Orthopaedic Surgery | 1701 W Monterey Ave Ste 4, Chicago, IL 60643-4257 | 2016-06-13 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1104231059 | David Crandall Hirsch | Orthopaedic Surgery | 5841 S Maryland Ave # 3078, Chicago, IL 60637-1443 | 2014-06-29 |
| 1649684945 | Clarabelle Adelaide Devries | Orthopaedic Surgery | 5758 S Maryland Ave Dept 4b, Chicago, IL 60637-1426 | 2014-06-13 |
| 1346651551 | Matthew Caid | Orthopaedic Surgery | 2316 W Belden Ave, Chicago, IL 60647-3266 | 2014-05-12 |
| 1790104396 | Peter Garas | Orthopaedic Surgery | 5841 S Maryland Ave # 3079, Chicago, IL 60637-1443 | 2014-04-10 |
| 1942628730 | Michael Mccarthy | Orthopaedic Surgery | 676 N Saint Clair St Ste 1350, Chicago, IL 60611-4795 | 2014-03-31 |
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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.