DR. MICHAEL JOSEPH KAVANAUGH (NPI# 1487786869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487786869 |
Entity Type | Individual |
Full Name | DR. MICHAEL JOSEPH KAVANAUGH |
Credential | M.D. |
Practice Address |
2792 Cottonwood Ln Pensacola FL 32514-5917 |
Practice Telephone | 7083701616 |
Mailing Telephone | 7083701616 |
Enumeration Date | 2007-03-11 |
Last Update Date | 2019-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD4655330 | PA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 0101240250 | VA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
206 E Brown St, East Stroudsburg, PA 183013006 | 5704214000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215468814 | Michael Coyne Kavanaugh | Radiology | 593 Eddy St, Providence, RI 02903 | 2017-03-24 |
1144358797 | Michael Thomas Kavanaugh II | Counselor | 915 8th Ave N, Nashville, TN 37208-2621 | 2007-03-02 |
Street Address |
2792 COTTONWOOD LN |
City | PENSACOLA |
State | FL |
Zip Code | 32514-5917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
Find all providers in zip 32514 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699799692 | John F Wade IIi | Internal Medicine | 435 Aiport Blvd., Pensacola, FL 32503-7847 | 2006-07-26 |
1013975119 | Peter A Marco | Internal Medicine | 5149 N. 9th Avenue, Suite 120, Pensacola, FL 32504 | 2006-05-01 |
1003883620 | Mohamed K Helmi | Internal Medicine | 5149 N. 9th Ave., Suite 120, Pensacola, FL 32504-8734 | 2006-03-02 |
1164407607 | Keane V Arney | Internal Medicine | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2005-12-07 |
1275725178 | Peter A Bercz | Internal Medicine | 4700 Bayou Blvd, Ste 6, Pensacola, FL 32503-1901 | 2007-08-14 |
1730384900 | Sean Michael Roark | Internal Medicine | 4700 Bayou Blvd Ste 6, Pensacola, FL 32503 | 2007-06-18 |
1427072412 | Rammohan S Rao | Internal Medicine | 435 Airport Blvd, Pensacola, FL 32503-7847 | 2006-07-26 |
1295756104 | Pulmonary Critical Care & Sleep Disorders Medicine Pa | Internal Medicine | 435 Airport Blvd, Pensacola, FL 32503-7847 | 2006-07-23 |
1902827819 | John D Gary | Internal Medicine | 435 Airport Blvd, Pensacola, FL 32503-7847 | 2006-07-23 |
1679553788 | Robert Douglas Menzies | Internal Medicine | 6000 W Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512-0001 | 2006-01-17 |
Find all providers in PENSACOLA |
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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.