NPIMap

Organization Active NPI

Gavin Orthopaedics

  • Orthopaedic Surgery Physician
  • Ridgeland, SC
National Provider Identifier
1952887523
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
26650 Issued in SC
Legal business name
GAVIN ORTHOPAEDICS
Practice address
149 Riverwalk Blvd Ste 3/4
Ridgeland, SC 29936-8190
Phone
(843) 836-7022
Fax
(843) 836-3077
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
J Robert Gavin Jr., MD
Title
Owner
Phone
(843) 681-5077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 26650 SC Primary

Addresses

Primary practice location

149 Riverwalk Blvd Ste 3/4
Ridgeland, SC 29936-8190

Mailing address

15 Moss Creek VLG
Hilton Head, SC 29926-1105
Phone (843) 681-5077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1952887523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VLG",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "843-681-5077",
            "fax_number": "843-681-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD STE 3/4",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "843-836-7022",
            "fax_number": "843-836-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-681-5077",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "26650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.