George Gavern (NPI# 1073833612, PAC ID# 4082839394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1073833612 |
| PAC ID by PECOS | 4082839394 |
| Professional Enrollment ID | I20150717002162 |
| Full Name | George Gavern |
| Organization Legal Name | DIAGNOSTIC IMAGING ASSOCIATES LLC |
| Address |
1389 W Main St Waterbury CT 06708-3115 |
| Phone Number | 2035741311 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0143127241 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070016 | SAINT MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 166 Waterbury Rd, Prospect, CT 06712-1200 | 2037587700 | PROSPECT DIAGNOSTIC IMAGING |
| 385 Main St, Southbury, CT 06488-1805 | 2032647999 | DIAGNOSTIC IMAGING OF SOUTHBURY |
| 1389 W Main St, Waterbury, CT 06708-3115 | 2035741311 | DIAGNOSTIC IMAGING ASSOCIATES LLC |
| 1389 W Main St, Waterbury, CT 06708-3104 | 20326479991130 | NAUGATUCK VALLEY MRI LLC |
| 56 Franklin St, Waterbury, CT 06706-1253 | 20326479991130 | NAUGATUCK VALLEY RADIOLOGICAL ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 78% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 78% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 78% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 78% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 78% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 73% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 73% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 73% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 73% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 73% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% |
| Organization Legal Name | DIAGNOSTIC IMAGING ASSOCIATES LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Malin | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Laura Kaplan | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Gregory Gersten | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Geoffrey Leonard Manton | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Bipinchandra Jagjivan | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Paolo Olcese | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Carolyn Ajemian | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Zaixiang S Zhang | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Yeo Yang Shin | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Mark Johnson | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Street Address |
1389 W MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip | 06708-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles T Arena | Podiatry | 1389 W Main St, Suite 222, Waterbury, CT 06708-3104 | |
| Eduardo G Mari | Gastroenterology | 1389 W Main St, Suite 223, Waterbury, CT 06708-3104 | |
| Jaye C Howes | Nurse Practitioner | Western Connecticut Medical Group Inc | 1389 W Main St, Suite 106, Waterbury, CT 06708-3115 |
| Michael K Malin | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Laura Kaplan | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Christopher Randolph | Pediatric Medicine | Center for Allergy Asthma and Immunology LLC | 1389 W Main St, Suite 205, Waterbury, CT 06708-3115 |
| Matthew Balanda | Nurse Practitioner | Center for Allergy Asthma and Immunology LLC | 1389 W Main St, Suite 205, Waterbury, CT 06708-3115 |
| Gregory Gersten | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| John Hillgen Iv | Oral Surgery | Greater Waterbury Oral and Maxillofacial Surgeons LLC | 1389 W Main St, Suite 320, Waterbury, CT 06708-3104 |
| Geoffrey Leonard Manton | Diagnostic Radiology | Diagnostic Imaging Associates LLC | 1389 W Main St, Waterbury, CT 06708-3115 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette A Burton | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Allison Phipps | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Kay Yanagisawa | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| John Peirce Byram | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Trudy Tamara Pearson | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Brittney R Jackson | Clinical Social Worker | Step Up Care PC LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Sarah J Jacob | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Christine Leah Shapter | Psychiatry | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Kimberly A Gagnon | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Jaclyn M Sylvia | Physician Assistant | Westwood Ear, Nose and Throat, P.C. | 60 Westwood Ave, Waterbury, CT 06708-2460 |
| Find all physicians in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WATERBURY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on George Gavern.
| 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.