DR. MICHAEL K GAVIGAN (NPI# 1588779607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588779607 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL K GAVIGAN |
| Other Name | DR. MICHAEL K GAVIGAN |
| Credential | DPM |
| Practice Address |
4 Barlows Landing Rd Suite #17 Pocasset MA 02559-1980 |
| Mailing Address |
Po Box 3227 Suite #17 Pocasset MA 02559-3227 |
| Practice Telephone | 5085637133 |
| Practice Fax Number | 5085636771 |
| Mailing Telephone | 5085637133 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1770 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 710223 | 01 |
| MA | MEDICAID | 0361704 | 01 |
| BCBS | 1588779607 | 01 | |
| MA | HPHC | 33081 | 01 |
| NJ | EVERCARE | 27-07976 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195083 | Michael Scott Gavigan | Hospitalist | 1314 Oak St, Melbourne, FL 32901 | 2018-12-17 |
| 1033272752 | Michael David Gavigan | Obstetrics & Gynecology | 105 Mark Dr, Edenton, NC 27932-1704 | 2006-12-18 |
| Street Address |
4 BARLOWS LANDING RD SUITE #17 |
| City | POCASSET |
| State | MA |
| Zip Code | 02559-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052250 | Lashauna Adams | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-08-05 |
| 1922622323 | Kenny Pacheco | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-06-01 |
| 1811521776 | Mikaela Brides | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-02-28 |
| 1235763194 | Dominique Alkhawande | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-02-28 |
| 1255965216 | Kerry Souza | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-02-28 |
| 1417429325 | Chloe Robertson | Behavioral Analyst | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2018-12-18 |
| 1740759117 | Jenna Durfee | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559 | 2018-11-15 |
| 1144799511 | Mayra Muniz | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-0255 | 2018-11-15 |
| 1144745225 | Meagan Maraccini | Behavior Technician | 4 Barlows Landing Rd, Suite 13, Pocasset, MA 02559 | 2017-08-09 |
| 1265961890 | Kelley Plourde | Behavioral Analyst | 4 Barlows Landing Rd, Suite 13, Pocasset, MA 02559 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725823 | Valerie Michelle Gudas | Optometrist | 17 Cove Road, #3023, Pocasset, MA 02559 | 2019-01-31 |
| 1942547849 | Suzanne Arielle North | Behavioral Analyst | 4 Barlow's Landing Rd, Suite 13, Pocasset, MA 02559 | 2013-01-11 |
| 1346557071 | Deborah Elaine Bainton | Social Worker | 820 County Road, Pocasset Mental Health Center, Pocasset, MA 02559 | 2010-09-01 |
| 1194041327 | Colleen Marie Richard | Behavioral Analyst | 4 Barlow's Landing Rd., Pocasset, MA 02559 | 2010-04-13 |
| 1164501425 | Tracy Lynn Murphy | Dentist | 41 C Barlows Landing Rd, Pocasset, MA 02559 | 2006-11-06 |
| 1659466050 | Richard Walter Fontaine | Nurse Practitioner | 830 County Road, Pocasset, MA 02559 | 2006-10-03 |
| 1992719488 | Valentine Robert Ferraris | Dentist | 580 Macarthur Blvd, Route 28, Pocasset, MA 02559 | 2006-07-28 |
| 1316495740 | Chieu Le | Registered Nurse | 830 County Rd, Pocasset, MA 02559 | 2016-09-14 |
| 1144472176 | Cosmetic & Family Dentistry Assoc., Inc | Dentist | 580 Macarthur Blvd, Pocasset, MA 02559 | 2008-10-22 |
| 1053645564 | Joseph Thomas Horgan Sr. | Internal Medicine | 95 Elgin Rd., Pocasset, MA 02559-0015 | 2009-09-30 |
| Find all providers in zip 02559 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
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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.