Julie a Gavin MD OBGYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

243652 Issued in NY

Legal business name

JULIE A GAVIN MD OBGYN PLLC

Practice address

3800 Delaware Ave
Kenmore, NY 14217-1094

Phone

(716) 913-2297

NPI assigned

Mar 17, 2011

Organization subpart

No

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

Authorized official

Name

Julie A Gavin, MDNPI 1700083276

Title

Owner

Phone

(716) 913-2297

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie A Gavin, MD

  • Obstetrics Physician
  • Buffalo, NY
  • NPI 1700083276
  Medicare reassignment NPD Authorized official
• Sanford Ronald Pleskow, MD

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1447224407
  NPD (past)

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1750680609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-332-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171094",
            "telephone_number": "716-913-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A GAVIN MD OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-913-2297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "243652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02893401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0714301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine N Jordan, COTA
• Joseph V. Mure, MD, PLLC
• Catherine Joseph
• Ann K Jospitre-Summons
• Ashley Joya, PT,DPT
• Mackenzie Ann Jurek
• Janet Marie Kacprowicz
• George Constantine Kalonaros, MD
• Katie Lynn Kalson, DPT
• Sharon Karnyski

• Obstetrics & Gynecology Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.