TIMOTHY S CAVANAUGH (NPI# 1558432922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558432922 |
| Entity Type | Individual |
| Full Name | TIMOTHY S CAVANAUGH |
| Other Name | T SHAWN CAVANAUGH |
| Credential | PAC |
| Practice Address |
1288 Route 73 South Suite 100 Mt Laurel NJ 08054 |
| Practice Telephone | 8562738900 |
| Practice Fax Number | 8568029772 |
| Mailing Telephone | 8562738900 |
| Mailing Fax Number | 8568029772 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA050758 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 25MP00098900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686729 | Timothy B Cavanaugh | Ophthalmology | 6200 W 135th St, Suite 300, Overland Park, KS 66223-4844 | 2006-02-06 |
| 1841333762 | Timothy J Cavanaugh | Chiropractor | 26 Mack Walters Rd, Shelbyville, KY 40065-1738 | 2007-02-14 |
| 1669559852 | Timothy Michael Cavanaugh | Pharmacist | 1191 N Milford Rd, Milford, MI 48381-1050 | 2006-11-01 |
| 1770503831 | Timothy P. Cavanaugh | Family Medicine | 1340 Boylston St, Boston, MA 02215-4302 | 2006-07-20 |
| Street Address |
1288 ROUTE 73 SOUTH SUITE 100 |
| City | MT LAUREL |
| State | NJ |
| Zip Code | 08054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699783266 | Alexander A Sapega | Orthopaedic Surgery | 1288 Route 73 South, Suite 100 Coordinated Medical Network, Mt Laurel, NJ 08054 | 2006-08-03 |
| 1851405880 | Michael L Sidor | Orthopaedic Surgery | 1288 Route 73 South, Suite 100, Mt Laurel, NJ 08054 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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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.