Michael K Gavigan Dpm

LBN: Michael K Gavigan Dpm
Michael K Gavigan Dpm is an health care organization with primary practice located at 4 Barlows Landing Rd #17, Pocasset MA 02559-1980. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Michael K Gavigan Dpm can be contacted via phone (508) 563-7133, or through Wright, Sandra Michelle via phone (508) 563-7133.

Contact Information

Primary practice address
4 Barlows Landing Rd #17 Pocasset MA 02559-1980
Phone: (508) 563-7133
Fax: (508) 563-6771
Website:
Map and Directions
Authorized official contact:
Name: Wright, Sandra Michelle
Phone: (508) 563-7133

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 1770 Massachusetts

Profile Details

NPI number 1316120710
LBN Legal business name Michael K Gavigan Dpm
DBA Doing business as
Authorized official Wright, Sandra Michelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 10th, 2007
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316120710 NPPES
Massachusetts MEDICAID 0361704
Massachusetts Other 1588779607
Massachusetts Other 4416070001
Massachusetts Other Y70831

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