COREY CAVANAUGH


Address: 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363
Phone: 4349241984

COREY CAVANAUGH (NPI# 1114345162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114345162
Entity Type Individual
Full Name COREY CAVANAUGH
Credential D.O
Practice Address 1300 Jefferson Park Ave
Charlottesville
VA 22903-3363
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349241984
Practice Fax Number 4342444502
Mailing Telephone 4342951000
Mailing Fax Number 4349724266
Enumeration Date 2014-04-06
Last Update Date 2020-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
0102205641 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
9 Pinnacle Dr Ste A03, Fishersville, VA 229392367 8444728711 4342437708
661 University Ln Ste E, Orange, VA 229602243 5406613011 5406613009
75 Circle Pointe Dr, Zion Crossroads, VA 229426935 4349249009 4349249256
70 Medical Center Cir Ste 105, Fishersville, VA 229392273 5403325970 5403325043

Office Location

Street Address 1300 JEFFERSON PARK AVE
City CHARLOTTESVILLE
State VA
Zip Code 22903-3363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555399 Bruce C Carter Ophthalmology 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2005-08-11
1760089981 Loretta Raiford Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-10-01
1588270342 Rachel K Murray Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-09-17
1992321616 Kristina Marie Creadore Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-06-18
1215558762 Allison Gossen Genetic Counselor, MS 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-05-06
1508409061 Molly Stevenson Bailey Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1497398994 Rebecca Shea Turner Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1215585443 Katherine Emma Connell Nurse Practitioner 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-30
1639724263 Casey Erin Cavanagh Psychologist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-09
1679128482 Jia Yu Liu Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
Find all providers in zip 22903

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770858847 Amanda D. Renaghan Internal Medicine 199 Spotnap Rd Ste 1, Charlottesville, VA 22911-8827 2012-03-21
1275720559 Martha Jefferson Medical Group LLC Internal Medicine 590 Peter Jefferson Pkwy Ste 300, Charlottesville, VA 22911-4628 2007-10-01
1679618763 Mark D. Okusa Internal Medicine The Kidney Center Uva Hospital W, Hospital Drive, 5th Floor, Charlottesville, VA 22908-0001 2007-02-20
1174502413 Jefferson Nephrology, Ltd Internal Medicine 675 Peter Jefferson Pkwy, Suite 140, Charlottesville, VA 22911-8618 2006-01-13
1760822704 Jeanne Kamal Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22903 2013-07-03
1710266259 Samuel Aaron Lazoff Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2011-08-15
1831400696 Shabnum Haleem Internal Medicine 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 2010-06-27
1730310608 Anjushree Kumar Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22908-3376 2009-07-27
1659519932 Uta Erdbruegger Internal Medicine 650 Peter Jefferson Pkwy Ste 290, Charlottesville, VA 22911-8848 2009-01-26
1811156649 Brendan T. Bowman Internal Medicine 4 Hospital Dr, Charlottesville, VA 22908-0001 2008-06-06
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

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.

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