DR. PATRICK W GAVIN (NPI# 1861620627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861620627 |
| Entity Type | Individual |
| Full Name | DR. PATRICK W GAVIN |
| Credential | D.O. |
| Practice Address |
1100 Goethals Drive Suite D Kadlec Clinic Urology Richland WA 99352 |
| Mailing Address |
3900 S Zintel Way Kennewick WA 99337-5092 |
| Practice Telephone | 5099423165 |
| Practice Fax Number | 5099423167 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2014-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | OP60479551 | WA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 5101018466 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154719821 | Patrick Joseph Gavin | Nurse Practitioner | 478 E Fawn Ln, Palatine, IL 60074-2361 | 2015-01-05 |
| 1295772119 | Patrick J Gavin | Pathology | 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 | 2006-05-31 |
| 1407821051 | Patrick F. Gavin | Nurse Anesthetist, Certified Registered | 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | 2006-02-17 |
| Street Address |
1100 GOETHALS DRIVE SUITE D KADLEC CLINIC UROLOGY |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770842 | Ralph G Laraiso | Physical Medicine & Rehabilitation | 1100 Goethals Drive, Suite B, Richland, WA 99352 | 2005-06-15 |
| 1083058762 | Sarena L Sloot | Registered Nurse | 1100 Goethals Drive, 3rd Floor, Richland, WA 99352-3304 | 2013-04-24 |
| 1588905699 | Tyson A Harris | Nurse Practitioner | 1100 Goethals Drive, Suite B, Richland, WA 99352 | 2013-03-14 |
| 1235485731 | Lora C Bird | Nurse Practitioner | 1100 Goethals Drive, Suite F, Richland, WA 99352 | 2012-08-02 |
| 1780962431 | Sunitha Suresh | Internal Medicine | 1100 Goethals Drive, 1st Floor, Richland, WA 99352-3304 | 2011-07-29 |
| 1871824656 | Curtis Anthony Woolf | Audiologist | 1100 Goethals Drive, 2nd Floor, Richland, WA 99352-3304 | 2010-01-19 |
| 1508192915 | Tauni M Urdahl | Physician Assistant | 1100 Goethals Drive, 1st Floor, Richland, WA 99352-3304 | 2009-10-20 |
| 1881928414 | Sarabjit Kaur Atwal | Psychiatry & Neurology | 1100 Goethals Drive, Richland, WA 99352-3304 | 2009-09-29 |
| 1861641581 | James R Kneller | Internal Medicine | 1100 Goethals Drive, Kadlec Inland Cardiology, 3rd Floor, Richland, WA 99352-3304 | 2008-09-17 |
| 1427210780 | Jared Ralph Collett | Physician Assistant | 1100 Goethals Drive, 1st Floor, Richland, WA 99352-3304 | 2008-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| 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 |
|---|---|---|---|---|
| 1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
| 1376787010 | Harold J. Ellner | Urology | 2037 Harris Ave, Richland, WA 99354-2018 | 2009-04-24 |
| 1437143179 | Fred M Foss | Urology | 948 Stevens Dr, Suite A, Richland, WA 99352-3547 | 2005-09-08 |
| 1003130873 | Washington Urology Pllc | Urology | 948 Stevens Dr, Suite C, Richland, WA 99352-3547 | 2010-03-22 |
| 1124271432 | Animesh Sahai, M.d., Pllc | Urology | 1776 Fowler St, Suite #2, Richland, WA 99352-4833 | 2008-10-30 |
| 1528090032 | Naeem T Chavla | Urology | 948 Stevens Dr, Suite A, Richland, WA 99352-3547 | 2006-07-07 |
| 1154393106 | Fred M Foss, Md | Urology | 948 Stevens Dr, Suite A, Richland, WA 99352-3547 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1023400041 | Pacific Northwest Urology Specialists, Pllc | Urology | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 | 2015-02-27 |
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
| 1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
| 1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
| 1073886438 | Peter John Minich | Urology | 3124 S 19th St Ste 240, Tacoma, WA 98405-2433 | 2012-02-15 |
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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.