KEITH CAVANAUGH MD NPI 1497830145

NPI Information

NPI: 1497830145
Provider Name: KEITH CAVANAUGH, MD
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
2530 CHICAGO AVE S
SUITE 400
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 813-3300
Get Directions

Keith Cavanaugh, MD is a pediatric pulmonology pediatrics in Minneapolis, MN. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Keith Cavanaugh, MD NPI is 1497830145. 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:

2530 CHICAGO AVE S
SUITE 400
MINNEAPOLIS, MN
ZIP 55404-387
Phone: (612) 813-3300
Fax: (612) 813-3349

The NPI 1497830145 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 10/25/2006 and was last updated on 3/2/2011.

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
1	2080P0214X	Pediatrics	Pediatric Pulmonology	40154	COLORADO	No
2	2080P0214X	Pediatrics	Pediatric Pulmonology	41590	MINNESOTA	Yes

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
1	H96614	MEDICARE UPIN	COLORADO
2	C537118	MEDICARE PIN	COLORADO
3	38376733	MEDICAID	COLORADO

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

NPI Synchronization or Removal

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