DANIEL G CAVANAUGH MD NPI 1104912153

NPI Information

  • NPI: 1104912153
  • Provider Name: DANIEL G CAVANAUGH, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • Address: N1050 COUNTY ROAD O
    MONDOVI, WI
    ZIP 54755
  • Phone: (715) 875-4402

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NPI Details

Daniel G Cavanaugh, MD is a thoracic surgery cardiothoracic vascular surgery in Mondovi, WI. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Daniel G Cavanaugh, MD NPI is 1104912153. 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:

N1050 COUNTY ROAD O
MONDOVI, WI
ZIP 54755-886
Phone: (715) 875-4402

The enumeration date for this NPI number is 10/5/2006 and was last updated on 9/23/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery27940WISCONSINNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)27940WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B51992MEDICARE UPIN
230763200MEDICAIDWISCONSIN
3000220270MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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: 11/21/2025

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