David Nicholas Gavin, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO1528 Issued in FL

Practice address

15620 McGregor Blvd., Suite 125
Fort Myers, FL 33908-2528

Phone

(239) 887-4621

Fax

(239) 887-4623

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

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 FL, TN2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• David N Gavin DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1851680573
  Medicare reassignment Authorized official
• Advanced Foot Care Center, PC

  • Podiatrist
  • Knoxville, TN
  • NPI 1780699249

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Apex Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1356733554
  NPD (past)
• Palm Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1982662201
  NPD (past)

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

• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1871541680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 MCGREGOR BLVD., SUITE 125",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082528",
            "telephone_number": "239-887-4621",
            "fax_number": "239-887-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 MCGREGOR BLVD., SUITE 125",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082528",
            "telephone_number": "239-887-4621",
            "fax_number": "239-887-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "DAVID",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041244900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gateway Medical Direct LLC
• Yumnary Gato Santiesteban
• Elena Gatskevich, M.D.
• Sixtina Gauthier
• Cynthia A Gavilanes
• Windy Gavin, MS
• Janette U. Gaw, MD
• Juan Gaztanaga, M.D.
• Ge Spine Orthopedic Sports Therapy Center LLC
• Gear & Yavorsky D.D.S. P.a.

• Foot & Ankle Surgery Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.