Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gavin Paul Slethaug, MD

Individual provider Diagnostic Radiology Physician · NPI 1558350512

Gavin Paul Slethaug, MD is a Diagnostic Radiology in Scottsdale, Arizona. Graduated from University of Toronto, Faculty of Medicine in 1993, 33 years ago. Practices with Empire State Radiology P C, a 266-clinician group and works from 2 locations. Licensed in Arizona, Florida and Illinois.

Years since qualifying
33
Trained at
University of Toronto, Faculty of Medicine
Licensed in
AZ, FL, IL
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5648
Phone: (480) 425-5000
Fax: (480) 945-6548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 Oakfield Dr, Brandon, FL 33511-5779 — (904) 399-5800

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 27364 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 27364 (AZ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence ME161562 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036174538 (IL)

Record details

NPI number1558350512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TORONTO, FACULTY OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Empire State Radiology P C — 266 clinicians
Accepts Medicare assignment Not indicated
Practice locations25 on file with Medicare

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