JAMES RICHARD GAVIGAN (NPI# 1679550966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679550966 |
| Entity Type | Individual |
| Full Name | JAMES RICHARD GAVIGAN |
| Credential | MD |
| Practice Address |
1606 Physicians Dr Suite 102 Wilmington NC 28401-7361 |
| Mailing Address |
Po Box 602297 Charlotte NC 28260-2297 |
| Practice Telephone | 9103628765 |
| Practice Fax Number | 9103629123 |
| Mailing Telephone | 9103628765 |
| Mailing Fax Number | 9103629123 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 17627 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 34985 | 01 | |
| NC | 8934985 | 05 | |
| CIGNA | 3545214001 | 01 |
| Street Address |
1606 PHYSICIANS DR SUITE 102 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768788 | Cheryl Harmon Maddux | Social Worker | 1606 Physicians Dr, Suite 104, Wilmington, NC 28401-7361 | 2005-08-24 |
| 1578173043 | Rachel Morgan Kantor | Student in an Organized Health Care Education/Training Program | 1606 Physicians Dr, Wilmington, NC 28401-7361 | 2020-08-08 |
| 1427617679 | Juliet Seitz | Social Worker | 1606 Physicians Dr, Wilmington, NC 28401-7361 | 2019-06-11 |
| 1811429996 | Kristine Lapointe | Psychologist | 1606 Physicians Dr, Suite 104, Wilmington, NC 28401-7361 | 2017-03-29 |
| 1003201765 | Parker Hurst Wiebe | Psychologist | 1606 Physicians Dr, Unit 104, Wilmington, NC 28401-7361 | 2015-03-31 |
| 1528302825 | Nicole Reya Merrigan | Psychologist | 1606 Physicians Dr, Suite 104, Wilmington, NC 28401-7361 | 2012-11-27 |
| 1326391699 | Magdalena Janina Bonk | Psychologist | 1606 Physicians Dr, Suite 104, Wilmington, NC 28401-7361 | 2012-10-23 |
| 1871876540 | Frederick Harris Kuttner | Counselor | 1606 Physicians Dr, Suite 104, Wilmington, NC 28401-7361 | 2011-09-20 |
| 1265664486 | Brian David Williamson | Social Worker | 1606 Physicians Dr, Suite 104, Wilmington, NC 28401-7361 | 2009-08-20 |
| 1558540559 | R. Henry Temple Md PC | Obstetrics & Gynecology | 1606 Physicians Dr, Suite 102, Wilmington, NC 28401-7361 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841695004 | Thomas Barnett Mobley IIi | Urology | 1413 Landfall Dr, Wilmington, NC 28405-4251 | 2014-10-30 |
| 1548689037 | Robert David Brown | Urology | 501 W 14th St Ste 4e18, Wilmington, DE 19801-1013 | 2014-04-10 |
| 1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
| 1831416510 | Mona Yezdani | Urology | 2000 Foulk Rd Ste F, Wilmington, DE 19810-3642 | 2010-04-21 |
| 1912001090 | Sadashiva Rao | Urology | 1815 W 13th St Ste 4, Wilmington, DE 19806-4054 | 2006-09-11 |
| 1588771075 | Robert T. Bennett, M.d.,pa | Urology | 2512 Delaney Rd, Wilmington, NC 28403-6002 | 2006-08-23 |
| 1467463695 | Philip Constandi Aschi | Urology | 1150 W Locust Street, Suite 600, Wilmington, OH 45177-2063 | 2006-08-11 |
| 1144278722 | David J Cozzolino | Urology | 2000 Foulk Road, Suite F, Wilmington, DE 19810 | 2006-05-05 |
| 1649257742 | Edward Orestes Janosko II | Urology | 1606 Physicians Dr Ste 102, Wilmington, NC 28401-7348 | 2005-12-29 |
| 1427040963 | Jose M Gueco | Urology | 33b Trolley Sq, Wilmington, DE 19806-3352 | 2005-08-19 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.