Active NPIIndividual provider

Casey M Gavin, PA

Physician Assistant in Peabody, Massachusetts

NPI Number1174801369
Practice location
1 Orthopedics Dr, 2ND Floor, Peabody, MA 01960-1668
Fax
978-818-6350
Last updated
July 22, 2011

Casey M Gavin is a Physician Assistant based in Peabody, MA. Casey M Gavin practices in Peabody, MA and has the professional credentials of PA. The NPI Number for Casey M Gavin is 1174801369 and holds a License No. PA4207 (MA). The current practice location address for Casey M Gavin is 1 Orthopedics Dr, 2ND Floor, Peabody, MA 01960-1668 and can be reached out via phone at 978-818-6350 and via fax at 978-818-6350.

Provider Profile Details

NPI Number
1174801369
Provider Name
Casey M Gavin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Orthopedics Dr, 2ND Floor, Peabody, MA 01960-1668
Phone Number
978-818-6350
Fax Number
978-818-6350
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2011
Last Update Date
July 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Orthopedics Dr
2ND Floor
Peabody, MA 01960-1668
Zip
01960-1668
Phone Number
978-818-6350
Fax Number
978-818-6350
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
1 Orthopedics Dr
2ND Floor
Peabody, MA 01960-1668
City
Peabody
State
MA
Zip
01960-1668
Phone Number
978-818-6350
Fax Number
978-818-6350

License Information

License Number
PA4207
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Casey M Gavin, PA?

The NPI number of Casey M Gavin, PA is 1174801369. It was assigned on July 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Casey M Gavin, PA?

Casey M Gavin, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4207.

Where does Casey M Gavin, PA practice?

The practice location is 1 Orthopedics Dr, 2ND Floor, Peabody, MA 01960-1668. The office can be reached at 978-818-6350 (phone) or 978-818-6350 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174801369 directly on the NPPES registry website.

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