Keith Cavanaugh
MD | Pediatric Pulmonology | Male
Keith Cavanaugh, MD is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Keith Cavanaugh is
2530 Chicago Ave S, Suite 400, Minneapolis, Minnesota - 55404-4387. He can be contacted on phone at
612-813-3300 and fax number 612-813-3349.
Keith Cavanaugh is a sole proprietor of his business.
NPI number (Unique professional ID) for Keith Cavanaugh is
1497830145 which was assigned by NPPES on 25 Oct, 2006 and it was last updated on 02 Mar, 2011.
Keith Cavanaugh license number is
41590 for Pediatrics Pediatric Pulmonology (2080P0214X) in Minnesota.
Keith Cavanaugh is 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.
Complete Profile:
Keith Cavanaugh basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Keith Cavanaugh |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Keith Cavanaugh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2530 Chicago Ave S, Suite 400
Minneapolis, MN, 55404-4387
United States |
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| Phone Number : | 612-813-3300 |
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| Fax Number : | 612-813-3349 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497830145 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Oct, 2006 |
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| Last Updated On : | 02 Mar, 2011 |
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Medicare Participation:
Keith Cavanaugh participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8426955592 |
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| Medicare Enrollment ID : | I20091118000228 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Loyola University Of Chicago, Stritch School Of Medicine |
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| Graduation Year : | 1996 |
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| Accepts Medicare? | Yes. Keith Cavanaugh accepts medicare insurance. |
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Group Practice Association:
Keith Cavanaugh is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Keith Cavanaugh is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Gillette Childrens Specialty Healthcare | 0547169211 | 56 | 200 University Ave E
Saint Paul, MN - 551012507
Ph: 6512912848 | Yes |
| Children's Respiratory And Critical Care Specialists Pa | 8022084235 | 6 | 2530 Chicago Ave
Suite 400
Minneapolis, MN - 554044387
Ph: 6128133300 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith Cavanaugh are as mentioned. Primary taxonomy code for Keith Cavanaugh, MD is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0214X | Pediatrics Pediatric Pulmonology | No | 40154 | CO |
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | 41590 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Keith Cavanaugh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 38376733 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2530 Chicago Ave S, Suite 400
Minneapolis, MN, 55404-4387
United States |
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| Phone Number : | 612-813-3300 |
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| Fax Number : | 612-813-3349 |
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Business Location:
Patients can refer following map for directions to
Keith Cavanaugh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.