Elizabeth Gross Gavin, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

48135 Issued in MN

Practice address

550 W Burnsville Pkwy Ste 201
Burnsville, MN 55337-2504

Phone

(763) 299-8346

Fax

(605) 275-6398

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.gavin.1@28859.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians Vein Clinics, PC

  • Phlebology Physician
  • Sioux Falls, SD
  • NPI 1720370133

  MN

  Medicare reassignment Care Compare group NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175

  MN

  Medicare reassignment NPD
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD
• Roger S Hogue MD PA

  • Specialist
  • Maple Grove, MN
  • NPI 1437560141
  NPD (past)
• Southwest Chiropractic. LLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1487864906
  NPD (past)
• Surgical Consultants, P.a.

  • Surgery Physician
  • Edina, MN
  • NPI 1366479651

  Surgery

  NPD (past)

Specialty

General Surgery

Education

Washington University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Vein Clinics PC 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1497787394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S KELLEY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066300",
            "telephone_number": "605-274-0217",
            "fax_number": "605-275-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W BURNSVILLE PKWY STE 201",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372504",
            "telephone_number": "763-299-8346",
            "fax_number": "605-275-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "ELIZABETH",
        "middle_name": "GROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "48135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Garrison, COTA
• Michael James Gates, MD
• Gateway Health Services Inc
• Gateway Stem Academy
• Miranda Lynn Gaulke, PHARM.D.
• John Gawboy
• John S Gay, MD
• Gregory P Gazzillo, M.D.
• Geary Chiropractic Clinic
• David R Geary, D.C.

• All providers in Burnsville, MN
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.
• 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.