DR. MICHAEL THOMAS CAVENDER (NPI# 1831453604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831453604 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THOMAS CAVENDER |
| Credential | D.O. |
| Practice Address |
300 East Hospital Road Dwight David Eisenhower Army Medical Center Fort Gordon GA 30805-5650 |
| Mailing Address |
300 East Hospital Road Fort Gordon GA 30805-5650 |
| Practice Telephone | 7067879358 |
| Mailing Telephone | 7067879358 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102203521 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467597732 | Michael Howard Cavender | Occupational Therapist | 1715 Lundy Ave, Suite 132, San Jose, CA 95131-1837 | 2007-02-21 |
| 1700902905 | Michael Stephen Cavender | Dentist | 9377 E Bell Rd, Suite 337, Scottsdale, AZ 85260-1502 | 2007-03-21 |
| Street Address |
300 EAST HOSPITAL ROAD DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30805-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613665 | Joseph Melton Bird | Social Worker | 300 East Hospital Road, Room 13a-10, Fort Gordon, GA 30905-5650 | 2005-07-18 |
| 1023616224 | Vernon Thomas Traeder Sharp | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-10-12 |
| 1740894583 | Stephanie Marie Rice | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905 | 2020-08-31 |
| 1710590542 | Kenneth Blind | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-08-31 |
| 1467078519 | Joseph Nathaniel Stancampiano | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30509-5650 | 2020-06-24 |
| 1912523101 | Austin Keith Nokes | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-23 |
| 1992329940 | Eda Chen | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-05 |
| 1154945269 | Yiwei Jiao | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-04 |
| 1942824164 | Camille Lynn | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-03 |
| 1023632429 | Brandon Lee Myers | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144668674 | Regina Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4072 Bath Edie Rd, Blythe, GA 30805-3600 | 2013-06-06 |
| 1689945909 | Csb of East Central Georgia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4054 Bath Edie Rd, Blythe, GA 30805-3600 | 2012-01-18 |
| 1356520696 | Sandra Arlene Adams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2007-11-02 |
| 1043541709 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2010-01-20 |
| 1912210501 | Hill's House | Assisted Living Facility | 3649 Highway 88, Blythe, GA 30805-3620 | 2010-07-23 |
| 1356717797 | Erica R. Griffin LLC | Counselor | 561 Poole Melton Rd, Blythe, GA 30805-3813 | 2015-08-20 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 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 |
|---|---|---|---|---|
| 1003290511 | Daniel Jason Frasca | Family Medicine | 300 E. Hospital Rd., Fort Gordon, GA 30905 | 2015-07-14 |
| 1902206907 | Elizabeth Ashley Suniega | Family Medicine | Connelly Health Clinic, Building 29709, B Street, Fort Gordon, GA 30905 | 2014-08-26 |
| 1073778866 | Amayi Maria Bloodsaw | Family Medicine | 301 East Hospital Road, Fort Gordon, GA 30905-5650 | 2008-07-22 |
| 1730177965 | Jason Seton Lanham | Family Medicine | 300 Hospital Drive, Family Medicine Clinic, Fort Gordon, GA 30905-5650 | 2005-10-12 |
| 1881695328 | Carolynn Marie Warner | Family Medicine | 300 East Hospital Drive, Ddeamc, Virtual Health, Fort Gordon, GA 30905 | 2005-08-09 |
| 1063412500 | Virginia Yates | Family Medicine | 300 East Hospital Rd, Credentials Coordinator, Fort Gordon, GA 30905 | 2005-07-27 |
| 1275535593 | Thomas Philip Garigan Jr. | Family Medicine | Bldg 300 East Hospital Road, Ddeamc (attn: Dfcm-fmc), Fort Gordon, GA 30905-3851 | 2005-06-01 |
| 1902323538 | Jameika Crawford-dicks | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-08-24 |
| 1841727047 | Michal Poplawski | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-05-18 |
| 1053847178 | Anthony Bieck | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2017-05-10 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30805 |
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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.