Michael K Gavigan DPM

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

1770 Issued in MA

Legal business name

MICHAEL K GAVIGAN DPM

Practice address

4 Barlows Landing Rd
#17
Pocasset, MA 02559-1980

Phone

(508) 563-7133

Fax

(508) 563-6771

NPI assigned

Dec 10, 2007

Organization subpart

Yes

Parent organization

MICHAEL K GAVIGAN DPMAs reported in NPPES

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

Authorized official

Name

Sandra Michelle Wright

Title

Office Manager

Phone

(508) 563-7133

Specialties & licenses 1

Addresses

Other identifiers 4

Part of

Michael K Gavigan DPM

Locations

Practitioners 1

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

• Michael K Gavigan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pocasset, MA
  • NPI 1588779607
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1316120710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BARLOWS LANDING RD STE 17",
            "address_2": "P.O BOX 3227",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025591984",
            "telephone_number": "508-563-7133",
            "fax_number": "508-563-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BARLOWS LANDING RD",
            "address_2": "#17",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025591980",
            "telephone_number": "508-563-7133",
            "fax_number": "508-563-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K GAVIGAN DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL K GAVIGAN DPM",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-563-7133"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MA",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361704",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588779607",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4416070001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLE CROSS",
            "identifier": "Y70831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Young McNally, M.ED
• Candy McPherson
• Jessica Medeiros
• Annelise Mary Menard, MD SPECIAL ED.
• Zooey Miceli
• Brittany Michaud
• Rebecca Ann Midler
• Kaylyn Mills
• Elizabeth Moar
• Nicole L Monteiro

• Exclusive Provider Organization in Pocasset, MA
• Providers in Pocasset, MA by specialty
• Exclusive Provider Organization in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.