Organization Active NPI

Dr Michael K Gavigan

  • Durable Medical Equipment & Medical Supplies
  • Pocasset, MA
National Provider Identifier
1396915708
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR MICHAEL K GAVIGAN
Practice address
4 Barlows Landing Rd Ste 17
Pocasset, MA 02559-1984
Phone
(508) 563-7133
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Ms. Cynthia Joan Lawrence
Title
Office Biller
Phone
(508) 563-7133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4 Barlows Landing Rd Ste 17
Pocasset, MA 02559-1984

Mailing address

PO Box 3227
Ste 17
Pocasset, MA 02559-3227
Phone (508) 563-7133

Other identifiers 1

IdentifierTypeStateIssuer
0361704MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1396915708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3227",
            "address_2": "STE 17",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025593227",
            "telephone_number": "508-563-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BARLOWS LANDING RD STE 17",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025591984",
            "telephone_number": "508-563-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL K GAVIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE BILLER",
        "authorized_official_telephone_number": "508-563-7133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361704",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.