Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Ryan Gauvin, MS, MSPAS, RD, PA-C

Individual provider Physician Assistant · NPI 1801332507

Mr. Mark Ryan Gauvin, MS, MSPAS, RD, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2021, 5 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1360 W Main Rd, Middletown, RI 02842-6301 — (401) 606-3111
  • 200 High Service Ave, North Providence, RI 02904-5113 — (401) 456-3000
  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01375 (RI)
Registered Dietitian Taxonomy 133V00000X · Licence LDN00892 (RI)

Record details

NPI number1801332507
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , MSPAS , RD , PA-C
Sole proprietorYes
NPI enumeratedJanuary 18, 2017
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Providence