Patrick Joseph Gavin, APN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209.011843 Issued in IL

Practice address

478 E Fawn LN
Palatine, IL 60074-2361

Phone

(708) 275-6748

NPI assigned

Jan 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Padraic Seosamh O'Gawain Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1154719821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 E FAWN LN",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742361",
            "telephone_number": "708-275-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 E FAWN LN",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742361",
            "telephone_number": "708-275-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.011843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PADRAIC",
            "last_name": "O'GAWAIN",
            "middle_name": "SEOSAMH",
            "prefix": "MR.",
            "credential": "APN-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Health Nurse Practitioner in Palatine, IL
• Providers in Palatine, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.