Michael P Gavin (NPI# 1669442620, PAC ID# 1557384799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1669442620 |
| PAC ID by PECOS | 1557384799 |
| Professional Enrollment ID | I20060113000160 |
| Full Name | Michael P Gavin |
| Organization Legal Name | PENNYRILE DISTRICT HEALTH DEPARTMENT |
| Address |
211 W Fairview Ave Eddyville KY 42038-8222 |
| Phone Number | 2703889763 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1976 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 6002854650 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181320 | LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC |
| 180102 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 211 W Fairview Ave, Eddyville, KY 42038-8222 | 2703889763 | PENNYRILE DISTRICT HEALTH DEPARTMENT |
| 190 Industrial Dr, Marion, KY 42064-1915 | 2709655215 | PENNYRILE DISTRICT HEALTH DEPARTMENT |
| 131 Hospital Dr, Salem, KY 42078-8043 | 2709882299 | TRI-RIVERS HEALTHCARE PLLC |
| 124 State St, Smithland, KY 42081-9999 | 2709282193 | PENNYRILE DISTRICT HEALTH DEPARTMENT |
| Organization Legal Name | PENNYRILE DISTRICT HEALTH DEPARTMENT |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Ann Jackson | Nurse Practitioner | Pennyrile District Health Department | 211 W Fairview Ave, Eddyville, KY 42038-8222 |
| Street Address |
211 W FAIRVIEW AVE |
| City | EDDYVILLE |
| State | KY |
| Zip | 42038-8222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Ann Jackson | Nurse Practitioner | Pennyrile District Health Department | 211 W Fairview Ave, Eddyville, KY 42038-8222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve B Hiland | General Practice | 627 W Fairview Ave, Eddyville, KY 42038-7386 | |
| Teresa R White | Nurse Practitioner | Livingston Hospital and Healthcare Services, Inc. | 209 W Main St, Eddyville, KY 42038-7752 |
| Wyetha S Wood | Nurse Practitioner | Livingston Hospital and Healthcare Services, Inc. | 209 W Main St, Eddyville, KY 42038-7752 |
| Kent L Schoonover | Chiropractic | 21 State Route 3305 S, Eddyville, KY 42038-7915 |
| City | EDDYVILLE |
| Zip Code | 42038 |
| Specialty | GENERAL SURGERY |
| City + Specialty | EDDYVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michael P Gavin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.