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

Individual provider Physician Assistant · NPI 1194434951

Mr. Patrick Joseph Canavan, PA-C is a Physician Assistant in Tewksbury, Massachusetts. Qualified in 2022, 4 years ago. Practices with Northeast Urologic Surgery, PC, a 12-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2022
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

82 Juniper Ln
Tewksbury, MA 01876-1271
Phone: (781) 475-2456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194434951
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address82 Juniper Ln, Tewksbury, MA 01876-1271

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Urologic Surgery, Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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