KEITH CAVANAUGH (NPI# 1497830145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497830145 |
| Entity Type | Individual |
| Full Name | KEITH CAVANAUGH |
| Credential | MD |
| Practice Address |
2530 Chicago Ave S Suite 400 Minneapolis MN 55404-4387 |
| Practice Telephone | 6128133300 |
| Practice Fax Number | 6128133349 |
| Mailing Telephone | 6128133300 |
| Mailing Fax Number | 6128133349 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
41590 | MN | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
40154 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 38376733 | 05 |
| Street Address |
2530 CHICAGO AVE S SUITE 400 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150414 | John F Fugate | Pediatrics | 2530 Chicago Ave S, Suite 400, Minneapolis, MN 55404-4387 | 2005-08-02 |
| 1538792353 | Children's Health Care | Pharmacy | 2530 Chicago Ave S, Csc 225, Minneapolis, MN 55404-4289 | 2020-02-20 |
| 1265405120 | Mark H Eikenberry | Pediatrics | 2530 Chicago Ave S, Suite 400, Minneapolis, MN 55404-4387 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659799351 | Brian Jeffrey Carroll | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2014-03-31 |
| 1780833483 | Helena B Molero Ramirez | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2008-09-17 |
| 1184818718 | Daniela Zgherea | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4289 | 2007-08-27 |
| 1821040403 | William Gershan | Pediatrics | 2512 S 7th St, Umphysicians Pediatric Specialty Care-7th St, Minneapolis, MN 55454-1404 | 2006-05-16 |
| 1821099466 | John J Mcnamara | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4289 | 2005-08-04 |
| 1346241999 | Michael P Pryor | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4289 | 2005-08-04 |
| 1275534042 | Paul T Kubic | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4289 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306927520 | Richard Paul Boesch | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-10-17 |
| 1992800817 | Stephen Blythe | Pediatrics | 347 Smith Ave N, Suite # 502, Saint Paul, MN 55102-2387 | 2006-09-14 |
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on KEITH CAVANAUGH.
| 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.