DR. MARY L. GAVIN (NPI# 1881784528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881784528 |
| Entity Type | Individual |
| Full Name | DR. MARY L. GAVIN |
| Credential | MD |
| Practice Address |
3855 West Chester Pike, Suite 280 Nemours Dupont Pediatrics, Newton Square Newton Square PA 19073-2304 |
| Mailing Address |
Po Box 191 Provider Enrollment Dept Rockland DE 19732-0191 |
| Practice Telephone | 6105574800 |
| Practice Fax Number | 3026514945 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD418266 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | C10006711 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101018361 | 05 | |
| NJ | 36790 | 05 | |
| MD | 4053079 | 05 |
| Street Address |
3855 WEST CHESTER PIKE, SUITE 280 NEMOURS DUPONT PEDIATRICS, NEWTON SQUARE |
| City | NEWTON SQUARE |
| State | PA |
| Zip Code | 19073-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434711 | Design Meets Mind, LLC | Clinic/Center | 18 Campus Blvd. Suite 100, Newtown Square, PA 19073 | 2020-07-20 |
| 1437649985 | Main Line Health Integrative and Functional Medicine Services | Clinic/Center | 3803 W Chester Pike Ste 160, Newtown Square, PA 19073 | 2018-05-10 |
| 1013345727 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4891 West Chester Pike, Newtown Square, PA 19073 | 2013-10-16 |
| 1275879967 | Preethi Alexander | Nurse Practitioner | 3930 West Chester, Pike Minute Clinic, Newtown Square, PA 19073 | 2012-12-27 |
| 1467745810 | Brittany Marie Brooks | Student in an Organized Health Care Education/Training Program | 3500 West Chester Pike, Newtowne Square, PA 19073 | 2011-05-18 |
| 1598066284 | Samuel Disston Allen Jr. | Urology | 523 Guinevere Dr, New Town Square, PA 19073 | 2010-11-11 |
| 1700102688 | Robert Francis Rogers | Pathology | 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 | 2010-04-16 |
| 1184850521 | Mary M Powell | General Practice | 3508 Tyson Rd., Newtown Sq, PA 19073 | 2009-05-29 |
| 1386888121 | Sean Christopher Flynn | Internal Medicine | 4651 W Chester Pike Ste 200, Newtown Square, PA 19073 | 2009-04-23 |
| 1801031331 | Linda Jane Bonsall | Psychologist | 2 Bishop Hollow Road, Newtown Square, PA 19073 | 2008-12-12 |
| Find all providers in zip 19073 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | NEWTON SQUARE |
| Zip Code | 19073 |
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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.