MICHAEL R. CAVANAUGH (NPI# 1962450866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450866 |
| Entity Type | Individual |
| Full Name | MICHAEL R. CAVANAUGH |
| Credential | D.C. |
| Practice Address |
105 Independence Blvd. Ste.#3 Lafayette LA 70506-2702 |
| Practice Telephone | 3379845852 |
| Practice Fax Number | 3379845851 |
| Mailing Telephone | 3379845852 |
| Mailing Fax Number | 3379845851 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 15 | LA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | F6802 | 01 |
| LA | 1951617 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161278 | Michael W Cavanaugh | Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2005-08-12 |
| 1407858376 | Michael Cavanaugh | Specialist | 1790 Nations Dr, Suite 102, Gurnee, IL 60031-9164 | 2005-08-11 |
| 1912385626 | Michael Cavanaugh | Social Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2015-05-13 |
| 1912396144 | Michael J Cavanaugh | Physician Assistant | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2015-01-12 |
| 1710103114 | Michael G Cavanaugh | Registered Nurse | 780 Albany St, Boston, MA 02118-2524 | 2007-04-17 |
| 1477566883 | Michael Francis Cavanaugh | Specialist | 1401 Bethlehem Pike, Flourtown, PA 19031-1904 | 2006-08-15 |
| 1376559955 | Michael F Cavanaugh | Registered Nurse | 255 Smith Ave N Ste 100, Saint Paul, MN 55102-2518 | 2006-08-01 |
| 1679525836 | Michael John Cavanaugh | Internal Medicine | 11211 Sw 152nd St, Miami, FL 33157-1101 | 2006-05-16 |
| Street Address |
105 INDEPENDENCE BLVD. STE.#3 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514763 | Daniel William Cadona | Chiropractor | 200 Beaullieu Dr Ste 9b2, Lafayette, LA 70508-7230 | 2020-06-26 |
| 1750920237 | Jennings Family Chiropractic Clinic Inc. | Chiropractor | 113 Flagg Place Suite A, Lafayette, LA 70508-7025 | 2019-12-31 |
| 1588219505 | Andrea Lynn Schrock | Chiropractor | 580 Viridian Dr Apt 310, Lafayette, CO 80026-7036 | 2019-08-06 |
| 1437620747 | Alexander James Schepler | Chiropractor | 297 N Us Highway 287 Ste 105, Lafayette, CO 80026-8953 | 2018-12-13 |
| 1538682554 | Jeremy Steel | Chiropractor | 1043 Stuart St Ste 100, Lafayette, CA 94549-4063 | 2017-07-21 |
| 1922534734 | Angelique Miller | Chiropractor | 108 Republic Ave, Suite B, Lafayette, LA 70508-6843 | 2017-05-11 |
| 1356880116 | Jereme' Chais Menard Sr. | Chiropractor | 130 Rue Beauregard Ste A, Lafayette, LA 70508-3130 | 2017-02-13 |
| 1659828143 | Nancy Lam | Chiropractor | 2 Walter Scholer Dr Ste B, Lafayette, IN 47909-6382 | 2016-09-01 |
| 1033563424 | Compass Chiropractic, Inc. | Chiropractor | 1365 Forest Park Cir Ste 102, Lafayette, CO 80026-3195 | 2016-04-21 |
| 1447617683 | Chelsey Lynn Lueken | Chiropractor | 2606 Veterans Memorial Pkwy S Ste 1, Lafayette, IN 47909-9192 | 2016-01-19 |
| Find all providers in LAFAYETTE | ||||
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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.