MR. JEFFREY DAVID CAVANAUGH C.C.P.
NPI 1265703474
Perfusionist in San Antonio, TX

NPI Status: Active since January 19, 2012

Contact Information

3463 MAGIC DR
SUITE T21
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 614-8101
Fax: (210) 614-8102

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  • Individual
  • Male
  • Perfusionist

About JEFFREY CAVANAUGH

This page provides the complete NPI Profile along with additional information for Jeffrey Cavanaugh, a provider established in San Antonio, Texas with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1265703474 assigned on January 2012. The practitioner's primary taxonomy code is 242T00000X with license number PF1057 (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1265703474
Provider Name
MR. JEFFREY DAVID CAVANAUGH C.C.P.
Gender
Male
Entity Type
Individual
Location Address
3463 MAGIC DR SUITE T21 SAN ANTONIO, TX 78229
Location Phone
(210) 614-8101
Location Fax
(210) 614-8102
Mailing Address
15010 IRON HORSE WAY HELOTES, TX 78023
Mailing Phone
(210) 621-3572
Is Sole Proprietor?
Yes
Enumeration Date
01-19-2012
Last Update Date
06-16-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Perfusionist

Taxonomy Code
242T00000X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
PF1057
License State
TX
Taxonomy Description
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246ZC0007XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Surgical Assistant

166637 (CO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265703474
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251406414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 4 + 0 + 6 + 4 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1265703474 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043469323SAN ANTONIO ASSISTING SERVICES, LLC
Organization
Specialist3463 MAGIC DR SUITE T21
SAN ANTONIO, TX 78229
(210) 614-8101
1447540166 LINDSAY FRY PT, DPT
Individual
Physical Therapist (Pediatrics)3463 MAGIC DR SUITE 255
SAN ANTONIO, TX 78229
(210) 582-5840
1821382581MRS. ANDREA MARIE PIOTROWSKI LCSW
Individual
Social Worker (Clinical)3463 MAGIC DR SUITE 255
SAN ANTONIO, TX 78229
(210) 582-5840
1396028833 SOPHIA JULIE-ANN SANTIAGO OTR
Individual
Occupational Therapist3463 MAGIC DR SUITE 255
SAN ANTONIO, TX 78229
(210) 582-5840
1902145816 ROBERT BALDINELL
Individual
Specialist/Technologist, Other (Surgical Assistant)3463 MAGIC DR SUITE T21
SAN ANTONIO, TX 78229
(210) 614-8101
1538508494MR. JAMES BRIAN ZIMMERMANN LPC
Individual
Counselor (Professional)3463 MAGIC DR SUITE 255
SAN ANTONIO, TX 78229
(210) 582-5840
1770823437 SHARON CASTRO
Individual
Specialist/Technologist, Other (Surgical Assistant)3463 MAGIC DR SUITE T21
SAN ANTONIO, TX 78229
(210) 614-8101
1588087720MR. JOHN PAUL LOPEZ JR. CST,CSA
Individual
Specialist/Technologist, Other (Surgical Assistant)3463 MAGIC DR SUITE T21
SAN ANTONIO, TX 78229
(210) 614-8101
1710376504 GUMERCINDO VALENZUELA JR.
Individual
Specialist/Technologist, Other (Surgical Assistant)3463 MAGIC DR STE. T21
SAN ANTONIO, TX 78229
(210) 614-8101
1710354436AGELESS LIVING HOME HEALTH
Organization
Counselor3463 MAGIC DR SUITE 350
SAN ANTONIO, TX 78229
(210) 582-5840
1598115248SAN ANTONIO ASSISTING SERVICES, LLC
Organization
Physician Assistant (Surgical)3463 MAGIC DR SUITE T21
SAN ANTONIO, TX 78229
(210) 614-8101
1114469780 MICHAEL TODD WOODY M
Individual
Registered Nurse (Registered Nurse First Assistant)3463 MAGIC DR
SAN ANTONIO, TX 78229
(210) 862-7509
1336703537 GLEN BELL CCP
Individual
Perfusionist3463 MAGIC DR
SAN ANTONIO, TX 78229
(210) 614-8101
1124166467 GINA MARIE BACCARI C.C.P.,S.A.-C.,LSA
Individual
Specialist/Technologist, Other (Surgical Assistant)3463 MAGIC DR SUITE T21
SAN ANTONIO, TX 78229
(210) 614-8101
1194369694 ENOCH CHING CCP
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3463 MAGIC DR
SAN ANTONIO, TX 78229
(210) 614-8101
1124747878 JOSEPH DEAN VALEK CCP
Individual
Perfusionist3463 MAGIC DR
SAN ANTONIO, TX 78229
(210) 614-8101
1912731621 TOMAS REGALADO CST/CSFA
Individual
Contractor3463 MAGIC DR
SAN ANTONIO, TX 78229
(210) 614-8101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265703474, enumerated in the NPI registry as an "individual" on January 19, 2012

The provider is located at 3463 Magic Dr Suite T21 San Antonio, Tx 78229 and the phone number is (210) 614-8101

The provider's speciality is Perfusionist with taxonomy code 242T00000X

This NPI record was last updated on January 19, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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