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Active NPI 1386156891 Individual Practitioner Male Practitioner

Mitchell S Mctavish , PA-C

Physician Assistant • Bridgeport, CT

Professional Overview & Biography Verified Profile Summary

Mitchell Mctavish, PA-C is a registered healthcare professional specializing in Physician Assistant in Bridgeport, CT. Practice services are available at 267 GRANT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

267 Grant St

Bridgeport, CT 066102805

Telephone 2033843145
Associated Practice Facility / Clinic
🏢 Bridgeport Hospital Facility NPI 1649260845

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bridgeport, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
138 Specialists

Practicing in Bridgeport, CT (2065 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 6716

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alex Cadan , PA-C

Physician Assistant - Surgical

NPI 1003009424

Physician Assistant (Certified)

Ryan Keenan , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003425331

Psychiatric-Mental Health Nurse Practitioner

Dr. Blaze Kelly , DO

Anesthesiology - Pain Medicine

NPI 1003445842

Doctor of Osteopathic Medicine (D.O.)

Karina Lincer

Physical Therapist

NPI 1003936204
Dorothy Daponte

Physical Therapy Assistant

NPI 1003961913
Sandra Shipkowitz , APRN

Nurse Practitioner - Pediatrics

NPI 1013052430

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 23, 2025

Registered at 267 GRANT ST, BRIDGEPORT, CT 066102805 (Tel: 2033843145)

📍
Updated Business Mailing Address January 23, 2025

Registered at 267 GRANT ST, BRIDGEPORT, CT 066102805

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2025

Physician Assistant (License #6716 in CT)

📍
Updated Practice Location November 05, 2021

Registered at 9200 W CROSS DR STE 100, LITTLETON, CO 801232239 (Tel: 8147062203)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2021

Physician Assistant (License #PA.0006034 in CO)

📍
Updated Practice Location November 16, 2020

Registered at 2801 PURCELL ST, BRIGHTON, CO 806013551 (Tel: 3036599700)

📍
Updated Business Mailing Address November 16, 2020

Registered at 2801 PURCELL ST, BRIGHTON, CO 806013551 (Tel: 3036599700)

NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2017

Registered at 1600 CORAOPOLIS HEIGHTS RD STE E, MOON TOWNSHIP, PA 151084316 (Tel: 4122622415)

📍
Updated Business Mailing Address October 25, 2017

Registered at 11279 PERRY HWY STE 450, WEXFORD, PA 150909303 (Tel: 7249331100)

👤
Provider Name / Credentials Updated October 25, 2017

Recorded as MITCHELL MCTAVISH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Physician Assistant (License #MA059239 in PA)

🟢
Initial NPI Registration & Enumeration October 25, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386156891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2017
Last Update: January 23, 2025
Sole Proprietor: No

Mailing Address

267 Grant St

Bridgeport, CT 066102805

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.