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JAMES RICHARD GAVIGAN MD NPI 1679550966


NPI Information

NPI: 1679550966
Provider Name: JAMES RICHARD GAVIGAN, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1606 PHYSICIANS DR
SUITE 102
WILMINGTON, NC
ZIP 28401
Phone: (910) 362-8765
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James Richard Gavigan, MD is an urology in Wilmington, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. James Richard Gavigan, MD NPI is 1679550966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1606 PHYSICIANS DR
SUITE 102
WILMINGTON, NC
ZIP 28401-361
Phone: (910) 362-8765
Fax: (910) 362-9123

The enumeration date for this NPI number is 12/28/2005 and was last updated on 5/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology17627NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134985OTHERBLUE CROSS
23545214001OTHERCIGNA
38934985MEDICAIDNORTH CAROLINA
4C83991MEDICARE UPIN
5206550MEDICARE ID-TYPE UNSPECIFIED
6NC7174BMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.