Active NPI
Dr Michael K Gavigan
- Durable Medical Equipment & Medical Supplies
- Pocasset, MA
National Provider Identifier
1396915708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361704 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Pocasset, MA
- NPI 1588779607
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.