Individual provider Active NPI

Michele M Gavin, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1053374900
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001645 Issued in OH
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

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000016 OH Practitioner - Physician Assistant 9931124393 Reassigns benefits to 1 organization

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
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

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

LicenseStateTypeSpecialty
50001645OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Dec 13, 2002 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Dec 13, 2002 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.