Morris L Gavant, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

D0055483 Issued in MD

Practice address

7253 Ambassador Rd
Baltimore, MD 21244-2710

Phone

(443) 436-1151

Fax

(443) 436-1256

NPI assigned

Jun 15, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1245274166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442710",
            "telephone_number": "443-436-1151",
            "fax_number": "443-436-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442710",
            "telephone_number": "443-436-1151",
            "fax_number": "443-436-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVANT",
        "first_name": "MORRIS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D0055483",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0055483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031000000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Christopher Gauthier, C.R.N.A.
• Jessica Gauthier, LCSW-C
• Kathryn Gauthier
• Nicole Gauthier, FNP-C
• Taryn Gauthier, LGSW
• Emily Gavett, M.D.
• Lindsay Rochelle Gavin, PHD
• George O Gavrila, MD
• Kristine Marie Gavrilis, PT
• Nadezhda Gavrilova, M.D.

• Neuroradiology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Neuroradiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.