PATRICK J GAVIN (NPI# 1295772119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295772119 |
| Entity Type | Individual |
| Full Name | PATRICK J GAVIN |
| Credential | M.D. |
| Practice Address |
2650 Ridge Ave Evanston Hospital Evanston IL 60201-1718 |
| Practice Telephone | 8475701206 |
| Practice Fax Number | 8475701248 |
| Mailing Telephone | 8475701206 |
| Mailing Fax Number | 8475701248 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154719821 | Patrick Joseph Gavin | Nurse Practitioner | 478 E Fawn Ln, Palatine, IL 60074-2361 | 2015-01-05 |
| 1861620627 | Patrick W Gavin | Urology | 1100 Goethals Drive, Suite D Kadlec Clinic Urology, Richland, WA 99352 | 2009-06-30 |
| 1407821051 | Patrick F. Gavin | Nurse Anesthetist, Certified Registered | 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | 2006-02-17 |
| Street Address |
2650 RIDGE AVE EVANSTON HOSPITAL |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476545 | Steven C Smart | Internal Medicine | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2005-06-09 |
| 1609477744 | Nicole Jeanine Strode | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-11-04 |
| 1609475243 | Fredrich Francis Raz | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-24 |
| 1548869209 | Ross Phillips | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-22 |
| 1760081673 | Lauren Elizabeth Todorova | Dietitian, Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-21 |
| 1245839364 | Christine B Lawlor | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-20 |
| 1386242956 | Jessica Elaine Rogers | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-15 |
| 1376141226 | Amanda Hemple | Registered Nurse | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-13 |
| 1710584297 | Natalia W Izquierdo | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-07 |
| 1558975078 | Lauren Grandi | Nurse Practitioner | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295776359 | Lance R Peterson | Pathology | 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1437272549 | Robert E. Merrick | Pathology | 1633 W Berwyn Ave, Chicago, IL 60640-2005 | 2007-04-06 |
| 1740201003 | Apl Clinical Pathology | Pathology | 800 E Carpenter, Springfield, IL 62769-0001 | 2006-07-22 |
| 1235163056 | Renuka Bhaskar | Pathology | 105 Krispy Kreme Dr, Ste 4, Bloomington, IL 61704-3751 | 2006-07-10 |
| 1881625341 | Winfield Laboratory Consultants, S.c. | Pathology | 25 Winfield Rd, Winfield, IL 60190 | 2006-07-05 |
| 1790747517 | Anjen Chenn | Pathology | 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 | 2006-04-05 |
| 1720063217 | Roy M.y. Nomura | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | 2005-12-07 |
| 1801880976 | William K Drake | Pathology | 400 Caldwell, Staunton, IL 62088-1173 | 2005-09-06 |
| 1265433312 | Prairie Pathology and Laboratory Physicians | Pathology | Virginia At Franklin, Bromenn Regional Medical Center, Normal, IL 61761 | 2005-08-10 |
| 1598111403 | Kyle G Parker | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2016-05-10 |
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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.