ROBERT ALAN CAVANAUGH MD NPI 1295814176

NPI Information

  • NPI: 1295814176
  • Provider Name: ROBERT ALAN CAVANAUGH, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 1800 LAWRENCE DR
    DE PERE, WI
    ZIP 54115
  • Phone: (920) 983-3220

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NPI Details

Robert Alan Cavanaugh, MD is an obstetrics gynecology in De Pere, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Robert Alan Cavanaugh, MD NPI is 1295814176. 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:

1800 LAWRENCE DR
DE PERE, WI
ZIP 54115-108
Phone: (920) 983-3220

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/2/2015.

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
1207V00000XObstetrics & Gynecology25135WISCONSINYes

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
1B51993MEDICARE UPIN
2330000038MEDICARE OSCAR/CERTIFICATIONWISCONSIN
330522900MEDICAIDWISCONSIN
4430800040MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5WI1097013MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6072250047MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7075100135MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8330350046MEDICARE OSCAR/CERTIFICATIONWISCONSIN
9073100057MEDICARE OSCAR/CERTIFICATIONWISCONSIN
10073550103MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11030280041MEDICARE OSCAR/CERTIFICATIONWISCONSIN

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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