Carol C Kavanaugh (NPI# 1689649444, PAC ID# 1052355088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1689649444 |
| PAC ID by PECOS | 1052355088 |
| Professional Enrollment ID | I20121119000441 |
| Full Name | Carol C Kavanaugh |
| Organization Legal Name | EVANSTON CLINIC CORP |
| Address |
196 Arrowhead Dr Suite 2 Evanston WY 82930-8752 |
| Phone Number | 3077838143 |
| Gender | F |
| Credential | DO |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8325038094 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530032 | EVANSTON REGIONAL HOSPITAL |
| 531313 | STAR VALLEY MEDICAL CENTER |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 Arrowhead Dr, Suite 2, Evanston, WY 82930-9353 | 3077898881 | EVANSTON CLINIC CORP |
| 196 Arrowhead Dr, Suite 2, Evanston, WY 82930-8752 | 3077838143 | EVANSTON CLINIC CORP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 3% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 96% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 95% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 3% |
| Organization Legal Name | EVANSTON CLINIC CORP |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corbin N Rasmussen | Physician Assistant | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
| Steven W Babcock | Family Practice | Evanston Clinic Corp | 531 Pkwy Dr, Mountain View, WY 82939 |
| Eric C Hansen | Obstetrics/gynecology | Evanston Clinic Corp | 150 Arrowhead Dr, Suite 2, Evanston, WY 82930-9353 |
| Clyde Sullivan | Internal Medicine | Evanston Clinic Corp | 190 Arrowhead Dr, Evanston, WY 82930-9266 |
| Cal L Morrow | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
| Karrie L Knopf | Physician Assistant | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
| Richard L England | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
| Micah D Pullins | Orthopedic Surgery | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 7, Evanston, WY 82930-8752 |
| Gregory M Yasuda | General Surgery | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 6, Evanston, WY 82930-8752 |
| Ian Kendrick | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
| Street Address |
196 ARROWHEAD DR SUITE 2 |
| City | EVANSTON |
| State | WY |
| Zip | 82930-8752 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corbin N Rasmussen | Physician Assistant | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
| Cal L Morrow | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
| Karrie L Knopf | Physician Assistant | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
| Richard L England | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
| John B Fassio | Ophthalmology | Mountain Valley Eye Institute PC | 196 Arrowhead Dr, Suite 5, Evanston, WY 82930-8752 |
| Christopher J Reynolds | Neurology | Neurological Associates LLC | 196 Arrowhead Dr, Suite 5, Evanston, WY 82930-8752 |
| Micah D Pullins | Orthopedic Surgery | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 7, Evanston, WY 82930-8752 |
| Gregory M Yasuda | General Surgery | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 6, Evanston, WY 82930-8752 |
| Ian Kendrick | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
| Kathy Bella | Nurse Practitioner | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol D Davis | Occupational Therapy | 612 County Club Dr, Ot Services, Evanston, WY 82930 | |
| Vickie L Wood | Clinical Social Worker | Pioneer Counseling Services | 949 Ctr St, Evanston, WY 82930-3430 |
| William Bruce Bourland | Optometry | 701 Front St, Evanston, WY 82930-3522 | |
| Pamela R Fuller | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| David R Russell | Optometry | 720 6th St, Evanston, WY 82930-3702 | |
| Suzanne Petren | Clinical Psychologist | Mountain Regional Services, Inc | 50 Allegiance Cir, Evanston, WY 82930-3804 |
| Sheri L Montgomery | Occupational Therapy | 152 Fox Point Loop Rd, Evanston, WY 82930-4784 | |
| Find all physicians in zip 82930 | |||
| City | EVANSTON |
| Zip Code | 82930 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EVANSTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carol C Kavanaugh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.