Active NPI
Michele M Gavin, PA-C
- Physician Assistant
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50001645
- Practice address
- 9500 Euclid Ave # R20
Cleveland, OH 44195-0001 - Phone
- (216) 445-7328
- Fax
- (216) 636-2427
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50001645 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave # R20
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave # R20
Cleveland, OH 44195-0001
Phone (216) 445-7328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Park Centre Dr
Suite 304
Wadsworth, OH 44281-9482
Phone (330) 334-4620
13944 Euclid Ave
East Cleveland, OH 44112-3804
Phone (216) 767-4242
16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500
17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000
19895 Detroit Rd
Rocky River, OH 44116-1815
Phone (440) 356-5500
2001 E Royalton Rd
Broadview Heights, OH 44147-2811
24700 Lorain Rd
North Olmsted, OH 44070-2068
26900 Cedar Rd
Beachwood, OH 44122-1191
Phone (216) 839-3000
27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700
29800 Bainbridge Rd
Solon, OH 44139-2202
Phone (216) 444-6568
303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444
315 Euclid Ave
Cleveland, OH 44114-2206
Phone (216) 444-5600
3574 Ctr Rd
Brunswick, OH 44212-3618
Phone (330) 225-8886
5001 Rockside Rd
Independence, OH 44131-2172
Phone (216) 986-4000
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50001645 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients |
Locations
9500 Euclid Ave
#O
Cleveland, OH 44195
Phone (216) 445-6888
9500 Euclid Ave
#R20
Cleveland, OH 44195
Phone (216) 444-3861
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Family Medicine Physician
- Avon, OH
- NPI 1184428336
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1053374900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE # R20",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-445-7328",
"fax_number": "216-636-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE # R20",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-445-7328",
"fax_number": "216-636-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVIN",
"first_name": "MICHELE",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50001645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.