Active NPI
Carla Marie Cavanagh, PA-C
- Physician Assistant
- Columbus, OH
National Provider Identifier
1508917972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.001046
- Practice address
- 2825 W Dublin Granville Rd
Columbus, OH 43235-2712 - Phone
- (614) 336-6000
- Fax
- (614) 336-7272
- NPI assigned
- Jan 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.001046 | OH | Primary |
Addresses
Primary practice location
2825 W Dublin Granville Rd
Columbus, OH 43235-2712
Mailing address
232 Turner Dr
Chardon, OH 44024-1524
Phone (440) 286-3784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.001046 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508917972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 TURNER DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241524",
"telephone_number": "440-286-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 W DUBLIN GRANVILLE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352712",
"telephone_number": "614-336-6000",
"fax_number": "614-336-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAGH",
"first_name": "CARLA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.001046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.