CLINTON CAVETT MD NPI 1548232879

NPI Information

NPI: 1548232879
Provider Name: CLINTON CAVETT, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
8040 CLEARVISTA PKWY
SUITE 460
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 621-2660
Get Directions

Clinton Cavett, MD is a pediatric surgery surgery in Indianapolis, IN. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Clinton Cavett, MD NPI is 1548232879. 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:

8040 CLEARVISTA PKWY
SUITE 460
INDIANAPOLIS, IN
ZIP 46256-630
Phone: (317) 621-2660
Fax: (317) 621-1535

The enumeration date for this NPI number is 2/2/2006 and was last updated on 4/8/2015.

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
1	2086S0120X	Surgery	Pediatric Surgery	0101-048041	VIRGINIA	No
2	2086S0120X	Surgery	Pediatric Surgery	01068359A	INDIANA	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	Other Provider Identifier Issuer
1	20093210	MEDICAID	INDIANA
2	000000765121	OTHER	INDIANA	ANTHEM
3	D82453	MEDICARE UPIN	VIRGINIA
4	20093210	MEDICARE PIN	INDIANA
5	M400024984	MEDICARE PIN	INDIANA
6	6754139	MEDICAID	VIRGINIA
7	000438C19	MEDICARE PIN

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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