George M Gavin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD024099E Issued in PA

Practice address

555 Route 217
Suite 1
Latrobe, PA 15650-3428

Phone

(724) 694-2723

Fax

(724) 694-8830

NPI assigned

Jan 3, 2006

Last updated

Nov 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ggavin@direct.excelahealth.org

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

• Excela Health Physician Practices, Inc

  dba Excela Health Cardiology

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment NPD
• Excela Health Physician Practices, Inc.

  dba Walk-in Clinic

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD
• Excela Health Physician Practices, Inc.

  dba IHS Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • North Huntingdon, PA
  • NPI 1699590786
  NPD
• Chestnut Ridge Primary Care, LTD

  dba Chestnut Ridge Primary Care

  • Family Medicine Physician
  • Latrobe, PA
  • NPI 1033177423
  NPD (past)
• Excela Health Chestnut Ridge LLC

  • Primary Care Clinic/Center
  • Latrobe, PA
  • NPI 1396923009
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1659359545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUTE 217",
            "address_2": "SUITE 1",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503428",
            "telephone_number": "724-694-2723",
            "fax_number": "724-694-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD024099E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008660980004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliann Marie Galando
• David Garzarelli
• Bailey Gaston
• Alberto Gauna, MD
• Maria Isabel Banas Gauna, M.D.
• Aleksandr V Gavrilov, RD, LDN
• Norman P Gebrosky, MD
• Genesis Rehab Services
• Marie Renee George Williams, D.O.
• Mallory Nicole Gergely

• Family Medicine Physician in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.