Active NPI
Terrence J Cavanaugh, MD
- Diagnostic Radiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29952
- Practice address
- 350 W Thomas Rd
Phoenix, AZ 85013-4409 - Phone
- (602) 406-3430
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29952 | AZ | Primary |
Addresses
Primary practice location
350 W Thomas Rd
Phoenix, AZ 85013-4409
Mailing address
PO Box 548
Cottonwood, AZ 86326-0548
Phone (928) 634-0665
Other practice location 1
2200 E Show Low Lake Rd
Show Low, AZ 85901-7881
Phone (928) 537-6338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 703737 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Kansas Medical College, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29952 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Sjhmc Physician Services | Current | Accepting new patients | |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| St. Joseph's Hospital and Medical Center | Current | Accepting new patients | |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| St Josephs Pathology | Current | Accepting new patients | |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| White Mountain Radiology | Diagnostic Radiology | Current | Accepting new patients |
Locations (25 of 27)
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
1125 S Alma School Rd
Ste 110
Chandler, AZ 85286
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500
7330 N 99th Ave
Ste 200
Glendale, AZ 85307
Phone (602) 406-0033
5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002
17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164
1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624
4975 N Dysart Rd
Unit 100
Litchfield Pk, AZ 85340
Phone (602) 406-8700
6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600
6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848
1625 N Campbell Ave
Tucson, AZ 85719
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
File 56765
Los Angeles, CA 90074
Organizations & group practices 11
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.
-
- Diagnostic Radiology Physician
- Flagstaff, AZ
- NPI 1275588659
-
dba Whiteriver Indian Hospital
- General Acute Care Hospital
- Whiteriver, AZ
- NPI 1427335140
TX
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Show Low, AZ
- NPI 1225018146
-
dba Hopi Health Care Center
- Critical Access Hospital
- Polacca, AZ
- NPI 1356628028
TX
-
- Diagnostic Radiology Physician
- Sun City, AZ
- NPI 1770139958
-
dba St. Joseph's Faculty Physicians
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
dba Pathology Associates LTD
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1265407738
-
dba SJHMC Trauma Services
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
-
- Diagnostic Radiology Physician
- Glen Burnie, MD
- NPI 1548803257
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guardian Medical Transport
- Land Ambulance
- Flagstaff, AZ
- NPI 1518143205
Hospital
-
dba FMC Behavioral Health Services
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1881674695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863260548",
"telephone_number": "928-634-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134409",
"telephone_number": "602-406-3430"
}
],
"practiceLocations": [
{
"address_1": "2200 E Show Low Lake Rd",
"address_purpose": "LOCATION",
"city": "Show Low",
"state": "AZ",
"postal_code": "859017881",
"country_code": "US",
"telephone_number": "928-537-6338",
"fax_number": "928-532-5947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "TERRENCE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "29952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "703737",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.