Timothy Kavanaugh (NPI# 1053304766, PAC ID# 4486693546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1053304766 |
| PAC ID by PECOS | 4486693546 |
| Professional Enrollment ID | I20190703000602 |
| Full Name | Timothy Kavanaugh |
| Organization Legal Name | PHYSICIAN GROUP OF ARIZONA INC |
| Address |
230 S 3rd St Phoenix AZ 85004-2697 |
| Phone Number | 6023243699 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1456439967 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030037 | ST LUKE'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 | 6025533113 | PHYSICIAN GROUP OF ARIZONA INC |
| 230 S 3rd St, Phoenix, AZ 85004-2697 | 6023243699 | PHYSICIAN GROUP OF ARIZONA INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PHYSICIAN GROUP OF ARIZONA INC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley D High | General Surgery | Physician Group of Arizona Inc | 10238 E Hampton Ave, Mesa, AZ 85209-3322 |
| Leah C Brown | Orthopedic Surgery | Physician Group of Arizona Inc | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 |
| Andrew R Adamson | Obstetrics/gynecology | Physician Group of Arizona Inc | 455 E 6th St, Suite 100, Mesa, AZ 85203-7118 |
| Shannon M Mclean | Physical Therapy | Physician Group of Arizona Inc | 2835 E Brown Rd, Suite 101, Mesa, AZ 85213-5470 |
| Rob Schuster | General Surgery | Physician Group of Arizona Inc | 555 N 18th St, Suite 300, Phoenix, AZ 85006-3759 |
| Raul A Lopez Gonzalez | General Surgery | Physician Group of Arizona Inc | 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 |
| Daniel T Fang | General Surgery | Physician Group of Arizona Inc | 2122 E Highland Ave, Suite 300, Phoenix, AZ 85016-4744 |
| Patricia T Mayborne | Nurse Practitioner | Physician Group of Arizona Inc | 1301 S Crimson Rd, Mesa, AZ 85209-3767 |
| James A Taylor Jr. | General Surgery | Physician Group of Arizona Inc | 10238 E Hampton Ave, Suite 301a, Mesa, AZ 85209-3322 |
| Marla A Vogt Roberts | Certified Nurse Midwife (cnm) | Physician Group of Arizona Inc | 1301 S Crimson Rd, Mesa, AZ 85209-3767 |
| Street Address |
230 S 3RD ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85004-2697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen N Peterson | Nurse Practitioner | English Dermatology PC | 230 S 3rd St, B4, Phoenix, AZ 85004-2697 |
| Nicholas R Bibeau | Physical Therapy | Physician Group of Arizona Inc | 230 S 3rd St, Phoenix, AZ 85004-2697 |
| Marc S Weinstein | Diagnostic Radiology | Physician Group of Arizona Inc | 230 S 3rd St, Phoenix, AZ 85004-2697 |
| Meera Mehta | Psychiatry | Physician Group of Arizona Inc | 230 S 3rd St, Phoenix, AZ 85004-2697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Perry S Hiscok | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Ron H Ayanzen | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Michael D Rosellini | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Susannah K Thurman | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Christopher J Macdonald | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Mihra Taljanovic | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Bruce T Curtis | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Ryan James Coleman | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Christopher A Reynolds | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Adam Kupper | Diagnostic Radiology | Smi Imaging LLC | 2830 N 3rd St, Phoenix, AZ 85004-1042 |
| Find all physicians in zip 85004 | |||
| City | PHOENIX |
| Zip Code | 85004 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PHOENIX + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Timothy 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.