Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gavin Mitchell Ashburn, PA-C

Individual provider Physician Assistant · NPI 1982141800

Mr. Gavin Mitchell Ashburn, PA-C is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2016, 10 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3931 Louisiana Ave S
St Louis Park, MN 55426
Phone: (952) 993-1748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Highway 25 N, Buffalo, MN 55313-1930 — (763) 684-3600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12324 (MN)

Record details

NPI number1982141800
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park