Maureen T Kavanah, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

44436 Issued in MA

Practice address

830 Harrison Ave
Moakley Suite 1200
Boston, MA 02118-2905

Phone

(617) 638-8655

Fax

(617) 638-8653

NPI assigned

Mar 20, 2006

Last updated

Jun 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1033178066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE",
            "address_2": "DOB 503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HARRISON AVE",
            "address_2": "MOAKLEY SUITE 1200",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182905",
            "telephone_number": "617-638-8655",
            "fax_number": "617-638-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAH",
        "first_name": "MAUREEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "44436",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MA",
            "license": "44436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110003694A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Kavanagh
• Kenneth C Kavanagh, ARNP
• Nolan Matthew Kavanagh, MD, PHD
• Patricia L Kavanagh, M.D.
• Richard G Kavanagh, MB,BCH,BAO
• Alison Rhodes Kavanaugh, ACNP-BC
• Marianthi Kavelidou
• Suzanne Kavet, MSN, PNP
• Joseph John Kavolus II, M.D.
• Vasileios Kavouridis, MD, MPH

• Surgical Oncology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Surgical Oncology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.