Theresa A Cavins, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

110454 Issued in MO

Practice address

255 Boderman
Bloomsdale, MO 63627-9099

Phone

(573) 483-2525

NPI assigned

Oct 2, 2005

Last updated

Apr 18, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theresacavins@mhccaremail.com

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.

• Ste Genevieve County Memorial Hospital

  dba Bloomsdale Family Health Care

  • Rural Health Clinic/Center
  • Bloomsdale, MO
  • NPI 1184658387
  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  dba Ste Genevieve Surgical Care

  • Surgery Physician
  • Ste Genevieve, MO
  • NPI 1619026580
  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  dba Plaza Family Health Care

  • Rural Health Clinic/Center
  • Ste Genevieve, MO
  • NPI 1154871143
  NPD
• Ste Genevieve County Memorial Hospital

  dba Womens Wellness Services at Bloomsdale

  • Medical Specialty Clinic/Center
  • Bloomsdale, MO
  • NPI 1871841395
  NPD
• Ste. Genevieve County Memorial Hospital

  dba Bloomsdale Specialty Clinic

  • Foot Surgery Podiatrist
  • Bloomsdale, MO
  • NPI 1104692946
  NPD
• Gregg a Ginsburg MD PC

  • Surgery Physician
  • Festus, MO
  • NPI 1609042803
  NPD (past)
• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  NPD (past)

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

• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  Care Compare affiliation

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1710974019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636700366",
            "telephone_number": "573-883-4477",
            "fax_number": "573-883-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BODERMAN",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "636279099",
            "telephone_number": "573-483-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINS",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "110454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020048156",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Assaf, DO
• Jonathon M Bird, MD
• Kelli Brockman
• Meagan Anne Conwell, CNP, PNP-PC
• Mary Elizabeth Crecelius, WHNP
• Day Seven Medical LLC
• Drury Chiropractic and Family Wellness LLC
• Jennifer Lynn Drury, D.C.

• Surgery Physician in Bloomsdale, MO
• Providers in Bloomsdale, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.