JOHN P GAVIN (NPI# 1720167893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720167893 |
| Entity Type | Individual |
| Full Name | JOHN P GAVIN |
| Credential | M.D. |
| Practice Address |
13702 Coursey Blvd Building 10 Suite B Baton Rouge LA 70817-1370 |
| Mailing Address |
79563 Albert Thompson Rd Folsom LA 70437-7539 |
| Practice Telephone | 2257551400 |
| Practice Fax Number | 2257551555 |
| Mailing Telephone | 2257551400 |
| Mailing Fax Number | 2257551555 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD.014641 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023211745 | John P. Gavin | Otolaryngology | 35 Hackett Blvd, Albany, NY 12208-3420 | 2007-06-08 |
| Street Address |
13702 COURSEY BLVD BUILDING 10 SUITE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706527 | Odyssey Healthcare Operating B Lp | Hospice Care, Community Based | 13702 Coursey Blvd, Suite 7a, Baton Rouge, LA 70817-1370 | 2005-08-04 |
| 1265983589 | A Helping Place of Louisiana, LLC | Community/Behavioral Health | 13702 Coursey Blvd, Bldg 6, Suite A1, Baton Rouge, LA 70817-1370 | 2016-10-21 |
| 1013357490 | Avenir Ventures, L.L.C. | Nurse Practitioner | 13702 Coursey Blvd, Suite 1b, Baton Rouge, LA 70817-1370 | 2013-06-28 |
| 1134490238 | Hospice 2012, LLC | Hospice Care, Community Based | 13702 Coursey Blvd, Building 5, Suite B, Baton Rouge, LA 70817-1370 | 2012-01-20 |
| 1922258912 | Murphko Enterprises, Inc. | Hospice Care, Community Based | 13702 Coursey Blvd, Bldg. 7, Baton Rouge, LA 70817-1370 | 2008-09-25 |
| 1306059068 | Care Inc | Day Training, Developmentally Disabled Services | 13702 Coursey Blvd, Building 4 Suite B, Baton Rouge, LA 70817-1370 | 2007-05-08 |
| 1497968150 | Care Inc | Day Training, Developmentally Disabled Services | 13702 Coursey Blvd, Bldg 4 Suite B, Baton Rouge, LA 70817-1370 | 2007-05-08 |
| 1710104070 | Care Inc | Day Training, Developmentally Disabled Services | 13702 Coursey Blvd, Building 4, Suite B, Baton Rouge, LA 70817-1370 | 2007-04-19 |
| 1972657674 | Coursey Urgent Care of Louisiana | Clinic/Center | 13702 Coursey Blvd, Bldg 10 Ste B, Baton Rouge, LA 70817-1370 | 2007-01-22 |
| 1790888980 | Michael L. Vincent | Dentist | 13702 Coursey Blvd, Building 10, Suite C, Baton Rouge, LA 70817-1370 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639533755 | Elizabeth Hays Boyle Cassels | Emergency Medicine | 4256 Brittany Drive, Baton Rouge, LA 70808 | 2016-04-06 |
| 1215356340 | Kyle Patrick Pfefferle | Emergency Medicine | 3113 Grand Way Ave, Baton Rouge, LA 70810-0422 | 2014-04-16 |
| 1396163713 | Louis Gordon Pruitt | Emergency Medicine | 2122 Perkins Palm Ave Apt 309, Baton Rouge, LA 70808-7602 | 2014-04-02 |
| 1942627203 | Tara Doran | Emergency Medicine | 9099 Lake Mist Dr, Baton Rouge, LA 70810 | 2014-03-25 |
| 1366880015 | Daron Dale Davis | Emergency Medicine | 5246 Brittany Drive, Lsu Health Emergency Medicine Residency Program, Baton Rouge, LA 70808 | 2013-06-04 |
| 1558704098 | Landon Mark Hatfield | Emergency Medicine | 8929 Worthington Estates Avenue, Baton Rouge, LA 70810 | 2013-04-15 |
| 1326481268 | John Christopher Michael | Emergency Medicine | 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 | 2013-04-10 |
| 1619310828 | Charles John Haase IIi | Emergency Medicine | 8733 Siegen Ln # 101, Baton Rouge, LA 70810-1945 | 2013-04-08 |
| 1972861292 | Karen George | Emergency Medicine | 13465 Parwood Ave, Baton Rouge, LA 70816-1470 | 2012-04-24 |
| 1629335534 | Simon Clark | Emergency Medicine | 6810 Jefferson Hwy, Apt 2107, Baton Rouge, LA 70806-8175 | 2012-04-16 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
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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.