KENNETH GAVIN (NPI# 1801287859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801287859 |
| Entity Type | Individual |
| Full Name | KENNETH GAVIN |
| Credential | C.O., M.ED |
| Practice Address |
3030 N Circle Dr Ste. 110 Colorado Springs CO 80909-1177 |
| Practice Telephone | 7197764840 |
| Practice Fax Number | 7197764845 |
| Mailing Telephone | 7197764840 |
| Mailing Fax Number | 7197764845 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3030 N CIRCLE DR STE. 110 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047143 | Colorado Otolaryngology Associates, LLC | Specialist | 3030 N Circle Dr, Suite 300, Colorado Springs, CO 80909-1177 | 2005-07-14 |
| 1386245348 | Facial Plastic Surgery Center of Colorado Springs, PC | Plastic Surgery | 3030 N Circle Dr, Colorado Springs, CO 80909-1177 | 2020-11-05 |
| 1225444672 | Matthew C Hansen, Dds, PC | Dentist | 3030 N Circle Dr, Ste. 211, Colorado Springs, CO 80909-1177 | 2014-07-07 |
| 1861821563 | Centura Ventures, LLC | Physical Medicine & Rehabilitation | 3030 N Circle Dr, Suite 212, Colorado Springs, CO 80909-1177 | 2013-11-04 |
| 1982977856 | Centura Home Care, LLC | Physical Medicine & Rehabilitation | 3030 N Circle Dr, Suite 210, Colorado Springs, CO 80909-1177 | 2012-02-22 |
| 1114239290 | Rachael Chantel Degurse | Family Medicine | 3030 N Circle Dr, Suite 301, Colorado Springs, CO 80909-1177 | 2010-07-06 |
| 1831419985 | Kristi A. Been Hallum | Audiologist-Hearing Aid Fitter | 3030 N Circle Dr, Suite 300, Colorado Springs, CO 80909-1177 | 2010-06-10 |
| 1477796332 | Matthew John Whinery | Otolaryngology | 3030 N Circle Dr, Ste 300, Colorado Springs, CO 80909-1177 | 2009-04-08 |
| 1336388966 | Colorado Hearing | Audiologist | 3030 N Circle Dr, Ste 300, Colorado Springs, CO 80909-1177 | 2009-02-04 |
| 1669638144 | Chris John Malinky | Anesthesiology | 3030 N Circle Dr, Suite 210, Colorado Springs, CO 80909-1177 | 2008-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538683537 | Brian Tolsma | Orthotist | 384 E Garden of The Gods Rd Ste 140, Colorado Springs, CO 80907-4243 | 2017-08-01 |
| 1285657411 | John Michael Callan | Orthotist | 1729 N Weber St, Colorado Springs, CO 80907-7503 | 2006-07-26 |
| 1215424338 | Jonathan P Moore | Orthotist | 4105 Briargate Pkwy Ste 110, Colorado Springs, CO 80920-3482 | 2018-04-14 |
| 1386131530 | William Beiswenger | Orthotist | 245 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2018-04-13 |
| 1033616297 | Michael Ray Hartley | Orthotist | 245 S Parkside Dr, Colorado Springs, CO 80910-3131 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069617 | Johan Michael Smith | Orthotist | 6372 Kendall St, Arvada, CO 80003-5045 | 2020-09-30 |
| 1073163671 | Bret Bostock | Orthotist | 4582 S Ulster St Ste 205, Denver, CO 80237-3011 | 2019-09-16 |
| 1417412271 | Eric P Neufeld | Orthotist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2019-02-06 |
| 1093221384 | Kristen Michelle Thessing | Orthotist | 406 E Grace Ave Ste B, Woodland Park, CO 80863-3127 | 2017-12-21 |
| 1447640396 | Craig Henry | Orthotist | 7208 Woodrow Dr, Fort Collins, CO 80525 | 2015-01-30 |
| 1326310749 | Cara Marie Wolfe | Orthotist | 8101 E Lowry Blvd Ste 240, Denver, CO 80230-7195 | 2012-02-01 |
| 1073634697 | William P Rodgers | Orthotist | 750 E 57th St, Loveland, CO 80538-1246 | 2007-04-02 |
| 1376142125 | Roberto Larosa | Orthotist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-22 |
| 1891394797 | Angela Montgomery | Orthotist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-21 |
| 1366041428 | Elizabeth Bush | Orthotist | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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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.