Terrence Cavanaugh (NPI# 1881674695, PAC ID# 5991764920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1881674695 |
| PAC ID by PECOS | 5991764920 |
| Professional Enrollment ID | I20041006000504 |
| Full Name | Terrence Cavanaugh |
| Organization Legal Name | WHITE MOUNTAIN RADIOLOGY |
| Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 |
| Phone Number | 9285376338 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 2365429123 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030062 | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
| 030113 | WHITERIVER PHS INDIAN HOSPITAL |
| 031305 | HOPI HEALTH CARE CENTER |
| 031315 | WHITE MOUNTAIN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 264 Hwy, Polacca, AZ 86042 | 9287376000 | DHHS IHS PHOENIX AREA |
| 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 9285376338 | WHITE MOUNTAIN RADIOLOGY |
| 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 9285374375 | SUMMIT HEALTHCARE ASSOCIATION |
| 200 W Hospital Dr, 860 Whiteriver Indian, Whiteriver, AZ 85941-0860 | 9283384911 | DHHS IHS PHOENIX AREA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 97% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 96% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 98% |
| Organization Legal Name | WHITE MOUNTAIN RADIOLOGY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Carey | Diagnostic Radiology | White Mountain Radiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Evan Tyler Hall | Diagnostic Radiology | White Mountain Radiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Mark A Bailey | Diagnostic Radiology | White Mountain Radiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Kenneth A Giles | Diagnostic Radiology | White Mountain Radiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Street Address |
2200 E SHOW LOW LAKE RD |
| City | SHOW LOW |
| State | AZ |
| Zip | 85901-7831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig White | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| John M Carey | Diagnostic Radiology | White Mountain Radiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Muhib Alattar | Internal Medicine | Hospitalist Medicine Healthcare LLC | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Eric V Olson | Physician Assistant | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Jared Lee | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Brandi L Didominick | Physician Assistant | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Philip Johnson | Family Medicine | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Melissa A Green | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Aaron C Bornstein | Family Medicine | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Yen Hui Huang | Cardiovascular Disease (cardiology) | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois R Speelman | Nurse Practitioner | Your Family Practice Team PC | 2051 Evergreen Lane D, Show Low, AZ 85901 |
| Jeffrey R Moore | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Heather John | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Victoria Karim | Audiologist | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 | |
| Salvacion Powell | Nurse Practitioner | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Melissa M Starkel | Clinical Social Worker | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Derek L Ringers | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Michael E Brown | Family Practice | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Gary D Parker | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| William K Horne | Chiropractic | 708 E Deuce of Clubs Ave, Show Low, AZ 85901-4926 | |
| Find all physicians in zip 85901 | |||
| City | SHOW LOW |
| Zip Code | 85901 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SHOW LOW + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Terrence Cavanaugh.
| 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.