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

Timothy J Gavin, MD

Individual provider Surgery Physician · NPI 1528004587

Timothy J Gavin, MD is a Vascular Surgery in Edina, Minnesota. Graduated from Medical College of Wisconsin in 1989, 37 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
37
Trained at
Medical College of Wisconsin
Licensed in
MN
In the registry since
2006
Specialties on file
2
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

6405 France Ave S Ste W440
Edina, MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 — (651) 232-2273

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 47505 (MN)
Surgery Physician Taxonomy 208600000X · Licence 47505 (MN)

Record details

NPI number1528004587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESMarch 7, 2023
Mailing address3400 W 66th St, Suite 350, Edina, MN 55435-2111

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1989 (37 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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