DR. JOHN J CAVANAUGH MD NPI 1760471429

NPI Information

NPI: 1760471429
Provider Name: DR. JOHN J CAVANAUGH, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
211 N EDDY ST
SOUTH BEND, IN
ZIP 46617
Phone: (574) 237-9331
Get Directions

DR. John J Cavanaugh, MD is an endocrinology and diabetes and metabolism internal medicine in South Bend, IN. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. John J Cavanaugh, MD NPI is 1760471429. 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:

211 N EDDY ST
SOUTH BEND, IN
ZIP 46617-808
Phone: (574) 237-9331
Fax: (574) 237-9252

The enumeration date for this NPI number is 10/17/2005 and was last updated on 6/23/2015.

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	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	01035159A	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
1	C24543	MEDICARE UPIN	INDIANA
2	738460007	MEDICARE PIN	INDIANA
3	100090160	MEDICAID	INDIANA
4	146470BBB	MEDICARE PIN	INDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »