Randall D. Gauvin, P. A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-354 Issued in ME

Practice address

Franklin Memorial Hospital
111 Franklin Health Commons
Farmington, ME 04938

Phone

(207) 779-2250

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730125386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 COURT ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049385924",
            "telephone_number": "207-778-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FRANKLIN MEMORIAL HOSPITAL",
            "address_2": "111 FRANKLIN HEALTH COMMONS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "04938",
            "telephone_number": "207-779-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUVIN",
        "first_name": "RANDALL",
        "middle_name": "D.",
        "credential": "P. A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA-354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Radiology Associates, M.D.P.a.
• Karoleigh Friend
• Thomas Frohwein, M.D.
• Rebecca Rae Gagnon-Pillsbury, MSPT, ATC, CLT
• David Taylor Gammons, M.D.
• Vicky Gerstenberger, RN
• Kimberly K Gooch, MD
• Stephen J Goss, D.O.
• Sarah Dehaan Gray, MD
• Julie D Grosvenor, MD

• Medical Physician Assistant in Farmington, ME
• Providers in Farmington, ME by specialty
• Medical Physician Assistant in Maine

• 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.

Verify at the official NPI Registry.