Sasha Cavanagh MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SASHA CAVANAGH MD PC

Practice address

3703 Ensign Rd NE
#10B
Olympia, WA 98506-5038

Phone

(360) 455-5091

NPI assigned

Dec 5, 2008

Organization subpart

No

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

Authorized official

Name

Sasha Cavanagh, MDNPI 1700886017

Title

Owner

Phone

(360) 455-5091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBCEBA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sasha Stokes Cavanagh, MD

  • Dermatology Physician
  • Olympia, WA
  • NPI 1700886017
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Kelson, PA

  • Physician Assistant
  • Olympia, WA
  • NPI 1326582669
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1235374158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 ENSIGN RD NE",
            "address_2": "#10B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065038",
            "telephone_number": "360-455-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 ENSIGN RD NE",
            "address_2": "#10B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065038",
            "telephone_number": "360-455-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASHA CAVANAGH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "CAVANAGH",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-455-5091",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Anne Sapp, DPT
• Javeria Saquib, MD
• Sara S Kemp SLP Inc.
• Sarah Lawson DDS, PLLC
• Erica Sarkipato, CPNP
• Aneesa Sataur, D.O.
• Anjan K Sattar, MD
• Alma Sauceda, LPN
• Michaela Katie-Lee Saucedo
• Kenneth D Saucke, LMP

• Dermatology Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.