Carol Colleen Kavanaugh, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A7152 Issued in CA

Practice address

123 E Walker St
Orland, CA 95963-1525

Phone

(530) 865-3400

Fax

(530) 865-2477

NPI assigned

Feb 22, 2006

Last updated

Jun 3, 2015By the provider in NPPES

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 WY

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evanston Clinic CorpGroup PAC ID 8325038094, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Best Home Health & Hospice LLC Home health agency, Evanston, WY, CCN 537831
• Cowboy Cares Home Health Home health agency, Lyman, WY, CCN 537079
• Rocky Mountain Home Care-Green River Home health agency, Green River, WY, CCN 537302
• Evanston Regional Hospital Hospital, Evanston, WY, CCN 531319

Merit-based Incentive Payment System (MIPS)

Final score

81.25 of 100Reported as group

Quality

67.93

Promoting interoperability

100

Improvement activities

40

Cost

69.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Evanston Clinic Corp

  • Family Medicine Physician
  • Evanston, WY
  • NPI 1013916519

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• North State Medical Primary Care, Inc.

  • Internal Medicine Physician
  • Chico, CA
  • NPI 1366303174
  NPD (past)
• Orland Urgent Care Inc., Professional Corporation

  • Family Medicine Physician
  • Orland, CA
  • NPI 1629303383
  NPD (past)
• Ross W Tye MD PHD Inc

  dba Ross Tye MD & Associates

  • Family Medicine Physician
  • Orland, CA
  • NPI 1326034281
  NPD (past)
• Evanston Internal Medicine Assoc.

  dba Evanston Internal Medicine Associates

  • Internal Medicine Physician
  • Evanston, WY
  • NPI 1619165719
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bcbu, Inc.

  dba Rocky Mountain Home Care - Green River

  • Home Health Agency
  • Green River, WY
  • NPI 1811994122
  Care Compare affiliation
• Best Home Health & Hospice LLC

  • Home Health Agency
  • Evanston, WY
  • NPI 1912475930
  Care Compare affiliation
• Cowboy Cares, Inc.

  dba Cowboy Cares Home Health

  • Home Health Agency
  • Lyman, WY
  • NPI 1821472903
  Care Compare affiliation
• Evanston Hospital Corporation

  dba Evanston Regional Hospital

  • General Acute Care Hospital
  • Evanston, WY
  • NPI 1639140015
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1689649444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E WALKER ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631525",
            "telephone_number": "530-865-3400",
            "fax_number": "530-865-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E WALKER ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631525",
            "telephone_number": "530-865-3400",
            "fax_number": "530-865-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "CAROL",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Johnson, MPT
• Margaret Patricia Mary Jones
• Sean Allen Joslin
• Michael John Joyce, D.C.
• Leslie Jurado
• Heather Aine Kennedy, D.O.
• Annette Kiraly, MS, OTR/L
• Beershea Kirksey
• Lake Elementary School District
• Julio Lawrence III

• Internal Medicine Physician in Orland, CA
• Providers in Orland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.