DR. TIMOTHY P. CAVANAUGH (NPI# 1770503831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770503831 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY P. CAVANAUGH |
| Credential | M.D. |
| Practice Address |
1340 Boylston St Boston MA 02215-4302 |
| Practice Telephone | 6172670900 |
| Mailing Telephone | 6172670900 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD08719 | RI | Allopathic & Osteopathic Physicians |
| 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 |
| 1558432922 | Timothy S Cavanaugh | Physician Assistant | 1288 Route 73 South, Suite 100, Mt Laurel, NJ 08054 | 2006-11-10 |
| 1669559852 | Timothy Michael Cavanaugh | Pharmacist | 1191 N Milford Rd, Milford, MI 48381-1050 | 2006-11-01 |
| Street Address |
1340 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477541217 | Stephen Louis Boswell | Internal Medicine | 1340 Boylston St, Boston, MA 02215-4302 | 2005-10-06 |
| 1629681762 | Yvette Leblanc | Counselor | 1340 Boylston St, Boston, MA 02215-4302 | 2020-08-28 |
| 1689299521 | Simonne Katz | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2020-06-16 |
| 1922622992 | Emily Price | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2020-06-04 |
| 1962021931 | Emily F Thomas | Student in an Organized Health Care Education/Training Program | 1340 Boylston St, Boston, MA 02215-4302 | 2020-04-10 |
| 1720616303 | Dena Anne Shuster | Student in an Organized Health Care Education/Training Program | 1340 Boylston St, Boston, MA 02215-4302 | 2020-03-30 |
| 1427688282 | Annie Lynn Crossman | Counselor | 1340 Boylston St, Boston, MA 02215-4302 | 2020-01-21 |
| 1902452022 | Sophia Turner Axtman | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-08-14 |
| 1063065290 | Christina M King | Social Worker | 1340 Boylston St, Boston, MA 02215-4302 | 2019-07-17 |
| 1912563180 | Julian Allroth Dormitzer | Nurse Practitioner | 1340 Boylston St, Boston, MA 02215-4302 | 2019-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1578099404 | Medexpress Primary Care Massachusetts, P.C. | Family Medicine | 578 Huntington Ave Fl 2, Boston, MA 02115-5902 | 2017-05-11 |
| 1144761438 | Shravya Budidi | Family Medicine | 72 E Concord St # 2600, Boston, MA 02118-2642 | 2017-03-20 |
| 1942650106 | Morgan Younkin | Family Medicine | 801 Massachusetts Ave Fl 2, Boston, MA 02118-2605 | 2016-06-20 |
| 1205220126 | Brian T Kroener | Family Medicine | 1 Dowling Medical Center Place, Dowling 5, Boston, MA 02119-2908 | 2015-03-28 |
| 1093129488 | Maya Yasmin Mauch | Family Medicine | South End Community Health Center, 1601 Washington St., Boston, MA 02118 | 2014-06-13 |
| 1528478500 | Maria Joan Bachman | Family Medicine | Boston Medical Center, 1 Bmc Place, Department of Family Medicine / Dowling 5, Boston, MA 02118 | 2014-04-30 |
| 1154680668 | Brian Robert Clear | Family Medicine | 68 Harrison Ave Fl 6, Boston, MA 02111-1929 | 2012-05-04 |
| 1861750333 | Jessica R Gray | Family Medicine | 720 Harrison Ave., Dob 503, Boston, MA 02118 | 2012-05-02 |
| Find all providers in BOSTON | ||||
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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.