DR. TIMOTHY B CAVANAUGH (NPI# 1083686729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083686729 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY B CAVANAUGH |
| Credential | MD |
| Practice Address |
6200 W 135th St Suite 300 Overland Park KS 66223-4844 |
| Practice Telephone | 9138979200 |
| Practice Fax Number | 9138979233 |
| Mailing Telephone | 9138979200 |
| Mailing Fax Number | 9138979233 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0423515 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 17675163 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841333762 | Timothy J Cavanaugh | Chiropractor | 26 Mack Walters Rd, Shelbyville, KY 40065-1738 | 2007-02-14 |
| 1558432922 | Timothy S Cavanaugh | Physician Assistant | 1288 Route 73 South, Suite 100, Mt Laurel, NJ 08054 | 2006-11-10 |
| 1669559852 | Timothy Michael Cavanaugh | Pharmacist | 1191 N Milford Rd, Milford, MI 48381-1050 | 2006-11-01 |
| 1770503831 | Timothy P. Cavanaugh | Family Medicine | 1340 Boylston St, Boston, MA 02215-4302 | 2006-07-20 |
| Street Address |
6200 W 135TH ST SUITE 300 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66223-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356606867 | Jared Jaynes | Optometrist | 6200 W 135th St, Suite 300, Overland Park, KS 66223-4844 | 2012-07-10 |
| 1851309074 | Cavanaugh Eye Center, Pa | Ophthalmology | 6200 W 135th St, Suite 300, Overland Park, KS 66223-4844 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235473448 | Prn Imaging, LLC | Ophthalmology | 10851 Mastin St Ste 100, Overland Park, KS 66210-1608 | 2012-11-15 |
| 1861744716 | Prn Billing LLC | Ophthalmology | 10851 Mastin St, Suite 100, Overland Park, KS 66210-1769 | 2012-10-02 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1215034277 | Jemshed A Khan | Ophthalmology | 9650 Nall Ave, Overland Park, KS 66207-2952 | 2006-09-20 |
| 1649290255 | Heart of America Eye Care Pa | Ophthalmology | 10985 Cody St Ste 120, Overland Park, KS 66210-1243 | 2006-07-20 |
| 1356390546 | Michael Craig Stiles | Ophthalmology | 7200 W 129th St, Overland Park, KS 66213-2624 | 2006-05-08 |
| 1659343499 | John Douglas Hunkeler | Ophthalmology | 7950 College Blvd, Overland Park, KS 66210 | 2006-02-06 |
| 1205830627 | Jason E Stahl | Ophthalmology | 8300 College Blvd., Suite 201, Overland Park, KS 66210 | 2005-06-13 |
| 1952305526 | Daniel S Durrie | Ophthalmology | 8300 College Blvd Ste 201, Overland Park, KS 66210-2812 | 2005-06-10 |
| 1487656674 | David E Braverman | Ophthalmology | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2005-06-01 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.