John P Gavin, M.D.
Individual provider Active NPI Emergency Medicine Physician · Baton Rouge, LA
NPI 1720167893 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720167893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD.014641 (LA)
- Practice address
- 13702 Coursey Blvd
Building 10 Suite B
Baton Rouge, LA 70817-1370 - Phone
- (225) 755-1400
- Fax
- (225) 755-1555
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Tulane University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rapid Urgent Care Inc
Practice addresses (Care Compare)
1111 N Causeway Blvd
Mandeville, LA 70471-3409
Phone (985) 249-5600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040525001498 | LA | Practitioner - Emergency Medicine |
2961483052 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14641 | LA | MD | Clinical Social Worker |
| 014641 | LA | MD | Pharmacist |
| MD.014641 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Louisiana Inc | Emergency Medicine | Current |
Accepting new patients |
| Rapid Urgent Care, Inc | Current | Accepting new patients | |
| Nes Louisiana Inc | Emergency Medicine | Current |
Accepting new patients |
| St Helena Parish Hospital | Current | Accepting new patients | |
| St Helena Parish Hospital | Current |
Accepting new patients | |
| C & M Medical Services, Inc. | Current |
Accepting new patients | |
| St. Helena Parish Hospital | Current |
Accepting new patients | |
| Rapid Urgent Care, Inc. | Current |
Accepting new patients | |
| Washington Parish Emergency Physicians Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Fairway Medical Urgent Care LLC | Past | Accepting new patients | |
| Louisiana Emergency & Trauma Specialists | Emergency Medicine | Past | Accepting new patients |
| Louisiana Em-1 Medical Services, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Tchefuncta Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
301 Walnut St
Amite, LA 70422
Phone (985) 748-7141
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
3223 8th St
Ste A
Metairie, LA 70002
501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702
1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431
Interoperability endpoints
- rapidurgentcare.johngavin@157500.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.014641 | LA | Yes |
Addresses
Primary practice location
13702 Coursey Blvd
Building 10 Suite B
Baton Rouge, LA 70817-1370
Mailing address
79563 Albert Thompson Rd
Folsom, LA 70437-7539
Phone (225) 755-1400
Other providers in Baton Rouge, LA
- Chad P Gautreaux
- Emilee Anne Gautreaux
- Grant Gerard Gautreaux
- Kourtney Angelle Gautreaux
- Shelly Marie Gautreaux
- Shashitha Gavini
- Sumitha Gavini
- Dariusz Waldemar Gawronski
- Julie A Gayle
- Rachel White Gayle
All providers in Baton Rouge, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.