Active NPI
Gavin Awerbuch MD PLLC
- Specialist
- Saginaw, MI
National Provider Identifier
1003130352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301405226
- Legal business name
- GAVIN AWERBUCH MD PLLC
- Practice address
- 5889 Bay Rd
Suite 104
Saginaw, MI 48604-2540 - Phone
- (989) 791-7999
- Fax
- (989) 791-7996
- NPI assigned
- Mar 16, 2010
- Last updated
- Mar 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gavin I Awerbuch, MD
- Title
- Owner
- Phone
- (989) 791-7999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301405226 | MI | Primary |
Addresses
Primary practice location
5889 Bay Rd
Suite 104
Saginaw, MI 48604-2540
Mailing address
5889 Bay Rd
Suite 104
Saginaw, MI 48604-2540
Phone (989) 791-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2582817 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268697600000",
"number": "1003130352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5889 BAY RD",
"address_2": "SUITE 104",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042540",
"telephone_number": "989-791-7999",
"fax_number": "989-791-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5889 BAY RD",
"address_2": "SUITE 104",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042540",
"telephone_number": "989-791-7999",
"fax_number": "989-791-7996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAVIN AWERBUCH MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A",
"authorized_official_last_name": "AWERBUCH",
"authorized_official_first_name": "GAVIN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-791-7999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "4301405226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2582817",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.