DR. GEORGE BRINTON CAVANAGH (NPI# 1477554293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477554293 |
| Entity Type | Individual |
| Full Name | DR. GEORGE BRINTON CAVANAGH |
| Credential | M.D. |
| Practice Address |
4201 Mitchellville Rd Suite 102 Bowie MD 20716-3163 |
| Mailing Address |
1111 Benfield Blvd Suite 200 Millersville MD 21108-3002 |
| Practice Telephone | 3012625900 |
| Practice Fax Number | 4107410865 |
| Mailing Telephone | 4107295100 |
| Mailing Fax Number | 4107295156 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0031602 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI PRIMARY CARE | 835426 | 01 |
| MD | CIGNA PIN | 1370929 | 01 |
| MD | MAMSI SPECIALIST | 235426 | 01 |
| MD | AETNA FEE FOR SERVICE | 4339374 | 01 |
| MD | 401571100 | 05 | |
| MD | CAREFIRST MPOS | P11957 | 01 |
| MD | AETNA CAPITATED | 0472812 | 01 |
| MD | JHHC PROVIDER NUMBER | 013140 | 01 |
| MD | CAREFIRST BLUECHOICE | 7605-0027 | 01 |
| MD | RAILROAD MEDICARE | 080113969 | 01 |
| MD | CAREFIRST MD RENDERING | 411788-01 | 01 |
| Street Address |
4201 MITCHELLVILLE RD SUITE 102 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088560 | Rosemary Higgins Ayerle | Nurse Practitioner | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2005-07-22 |
| 1871755900 | Ariel J. Warden-jarrett | Family Medicine | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2008-06-30 |
| 1356492466 | Dolores L. Coleman | Nurse Practitioner | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2007-01-15 |
| 1861472730 | Helga Van Dolsen | Nurse Practitioner | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2006-01-18 |
| 1194726000 | Konni Elaine Bringman | Family Medicine | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104460773 | The Surgery Clinics LLC | Family Medicine | 14300 Gallant Fox Ln Ste 110, Bowie, MD 20715-4031 | 2019-11-06 |
| 1609436518 | Louisa Kanu | Family Medicine | 5711 Hillmeade Rd, Bowie, MD 20720-4665 | 2019-06-13 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1770085029 | Healing Vessel Medical Associates LLC | Family Medicine | 14903 Dennington Dr, Bowie, MD 20721-3277 | 2018-03-02 |
| 1285182774 | Patient First Maryland Medical Group Pllc | Family Medicine | 15459 Annapolis Road, Bowie, MD 20715-1847 | 2016-09-14 |
| 1861719437 | Erica Davis Patton | Family Medicine | 504 N Mason St, Bowie, TX 76230-4231 | 2010-04-22 |
| 1265551592 | Lynn V. Yarborough | Family Medicine | 2905 Mitchellville Road, Suite 106, Bowie, MD 20716-3953 | 2007-03-28 |
| 1477619898 | Max G Latham | Family Medicine | 211 Koonce Rd, Bowie, TX 76230-2354 | 2006-12-29 |
| 1417067216 | Gerard P Champaloux Md | Family Medicine | 14300 Gallant Fox Lane, Suite 110, Bowie, MD 20715-4031 | 2006-08-30 |
| 1386638021 | Ranjit S Risam | Family Medicine | 3060 Mitchellville Rd, 210, Bowie, MD 20716-1389 | 2005-09-08 |
| Find all providers in BOWIE | ||||
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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.