DANA CAVICKE M.D. NPI 1639180607

NPI Information

NPI: 1639180607
Provider Name: DANA CAVICKE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: UNITED COMMUNITY AND FAMILY SERVICES, INC

PECOS Registration: Yes

Address:
12 LATHROP ROAD
PLAINFIELD, CT
ZIP 06374
Phone: (860) 564-6293
Get Directions

Dana Cavicke, M.D. is a family medicine in Plainfield, CT with 28 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. Dana Cavicke, M.D. NPI is 1639180607. 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:

12 LATHROP ROAD
PLAINFIELD, CT
ZIP 06374
Phone: (860) 564-6293
Fax: (860) 564-4879

The NPI 1639180607 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 8/11/2006 and was last updated on 6/2/2015.

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
1	207Q00000X	Family Medicine		041058	CONNECTICUT	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	P3099896	OTHER	CONNECTICUT	OXFORD
2	D400181491	MEDICARE PIN	CONNECTICUT
3	H89463	MEDICARE UPIN	CONNECTICUT
4	2V3866	OTHER	CONNECTICUT	HEALTHNET
5	001410589	MEDICAID	CONNECTICUT
6	010041058CT01	OTHER	CONNECTICUT	ANTHEM BLUE SHIELF
7	041058	OTHER	CONNECTICUT	CONNECTICARE
8	80001904	MEDICARE PIN	CONNECTICUT

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

NPI Synchronization or Removal

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