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Andrew K Gavagan MD PC

NPI 1619163748ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Troy, MI

Surgery, Plastic and Reconstructive Surgery in Troy, Michigan, registered in NPPES in September 2007. The authorized official on file is Andrew Gavagan, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1619163748
StatusActive
Entity typeOrganization
NPI issuedSep 21, 2007
Last updated in NPPESSep 21, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Plastic and Reconstructive Surgery Primary2086S0122X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

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