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JOHN CAVACECE DO NPI 1093768244


NPI Information

NPI: 1093768244
Provider Name: JOHN CAVACECE, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP

PECOS Registration: Yes

Address:
300 LAFAYETTE AVE SE
SUITE 4200
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-6922
Get Directions

John Cavacece, DO is a family medicine in Grand Rapids, MI with 38 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Cavacece, DO NPI is 1093768244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1986

The provider's business location address is:

300 LAFAYETTE AVE SE
SUITE 4200
GRAND RAPIDS, MI
ZIP 49503-650
Phone: (616) 685-6922
Fax: (616) 685-5105

The NPI 1093768244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/26/2009.


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
1207Q00000XFamily Medicine5101013293MICHIGANYes

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
13415564MEDICAIDMICHIGAN
2G35883MEDICARE UPINMICHIGAN
3M69390012MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
43364634MEDICAIDMICHIGAN
5P32930153MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
63495251MEDICAIDMICHIGAN
74597031MEDICAIDMICHIGAN
84878060MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
93290666MEDICAIDMICHIGAN
10M02830058MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
114878391MEDICAIDMICHIGAN

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: 11/14/2023

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.