Michael J Cavanaugh

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004654 Issued in CO

Practice address

Corner of Route N12 and N7
Fort Defiance, AZ 86504

Phone

(928) 729-8000

NPI assigned

Jan 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michael Cavanaugh Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO, TX2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

Merit-based Incentive Payment System (MIPS)

Final score

85.14 of 100Reported as group

Quality

97.98

Promoting interoperability

79

Improvement activities

40

Cost

62.04

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Southwest Health System Inc

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571
  Medicare reassignment NPD
• The Fort Defiance Indian Hospital Board, Incorporation

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1477876639

  TX

  Medicare reassignment
• The Pagosa Medical Group LLC

  • Surgery Physician
  • Pagosa SPGS, CO
  • NPI 1255857660
  Medicare reassignment
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment
• Southwest Health System, Inc.

  • Pharmacy
  • Cortez, CO
  • NPI 1386917862
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1720614217
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Louisville, CO
  • NPI 1851927693
  NPD

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

• Southwest Health System Inc

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571
  Care Compare affiliation
• Southwest Health System, Inc.

  • Land Ambulance
  • Cortez, CO
  • NPI 1679058184

  Hospital

  Care Compare affiliation
• Southwest Health System, Inc.

  • Non-emergency Medical Transport (VAN)
  • Cortez, CO
  • NPI 1992328074

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1912396144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-247-4311",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 N Mildred Rd",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212231",
            "country_code": "US",
            "telephone_number": "970-565-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004654",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelcavanaugh@swhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System - Emergancy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311 N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "CAVANAUGH",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ernesto Carlos, MD
• Lorenzo Carlos, RRT
• Lynwood E Carlton, DNP, MSN, PMHNP-BC
• Clayton Albert Carpenter, D.M.D.
• Luis Castro
• Eduardo Cavazos, RN
• Yvette Ivana Cayedito, CRT
• Fiona Chao, PHARMD
• Clifford Charles, PHARMD
• Jaremy Charley, LMSW

• Physician Assistant in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.